Monday, March 30, 2009

Cox Questions Insurance Company's Actions

Active and retired state employees, area hospitals, and medical providers are all being harmed by the way the HealthChoice insurance company and its fiscal intermediary, EDS, are being operated, Rep. Doug Cox of Grove said today.

“They are operating like a company in financial trouble. I hope for our state employees’ sake that is not the case,” said Cox, a Republican who also works as an emergency room doctor.

Beset by inefficiencies, delayed payments, poor customer service, and conflicting answers for consumers and providers alike, HealthChoice has created a trickle-down financial hardship on patients and providers throughout the state, Cox said.

He noted that HealthChoice is holding more that $22.5 million in accounts payable to Integris Health System alone. Over $10 million of those claims are more than two months old.
“In today’s computerized world there is no excuse for an insurance company not paying an electronic claim within 30 days or a paper claim within 45 days,” Cox said.

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