State to pay Blue Cross $3.5 million

The state has agreed to pay $3.5 million to Blue Cross Blue Shield of Vermont to settle billing issues from 2015 involving Vermont Health Connect.

The settlement is for health insurance premiums that Vermont Health Connect didn’t pay in 2015, and health care claims the insurer paid before customers’ coverage was retroactively terminated.

The insurer originally thought it would need $6.2 million to settle, and then invoiced the state for $4.6 million. An accounting reconciliation process brought down that number to $3.5 million.

This is the second settlement the state has paid to Blue Cross for reconciliation of accounts for Vermont Health Connect customers. In 2014, the state paid the company $1.6 million. Both parties are expecting to pay another settlement for 2016.

Read more: https://vtdigger.org/2017/01/15/state-pay-blue-cross-3-5-million/