DMHC Levies $50K Fine Against Anthem Over Patient Grievance Process
The California Department of Managed Health Care has fined Anthem Blue Cross of California $50,000 after the insurer denied an agency request to independently review a member's medical request. Anthem declined to conduct the review of an enrollee's 2012 request to receive a duodenal switch form of bariatric surgery, saying it had not been told by a network provider that the treatment was medically necessary,
- "DMHC Fines Blue Cross $50,000" (Shinkman, Payers & Providers, 12/11).