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News

Is there a class action lawsuit in this Wellmark mistake?

Wellmark Blue Cross/Blue Shield of Iowa wrongfully rejected a mere 25,000 claims for customers in Iowa and South Dakota. A "system error was causing rejection of some claims that should have been paid." I thought people reviewed these claims, not computers. What's with that? Hard to believe but apparently even the computer needs lefty-righty rehab.

"He said the issue involved customers who had "riders" on their policies, excluding coverage for pre-existing conditions. For instance, he said, a person who'd previously suffered an injury to his left knee might have agreed to exclude future treatment to that knee from coverage when he signed up for Wellmark insurance. But then, if he injured his right knee, the glitch in the Wellmark system might have mistakenly caused rejection of claims for treatment."

BCBS hired a consulting firm to analyze the situation. I wonder how much the consulting firm was paid. They should have hired the two kindergartners that walked away from Kitrell Elementary School in Waterloo this past week. I'm sure they could have told them which is the left leg and which the right.

Bottom line is if you had a surgery done on a body part in which you have two of them and the claim was rejected then chances are you'll need to check with BCBS to see if you have money coming to you. But let's say of the 25,000 claims only 250 people get money returned; why should BCBS get to keep the money wrongfully obtained? Why shouldn't the State of Iowa get the money? Class action?

You be the judge.

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For good advice see a lawyer and if you have questions about this blog, the law or your case write or call me directly. Steve Lombardi, sdlombardi@aol.com and 515-222-1110. I handle all types of personal injury cases including car accidents, truck accidents, motorcycle accidents, workers' compensation cases. We help truckers all across the country who come through Iowa and end up in an accident. If we need other lawyers from other states we hire them and it costs you no more than what you would pay us; in other words, we split the fee between us. So call 515-222-1110 or email us at sdlombardi@aol.com. 

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