Blue Cross Blue Shield Of Missouri

*Pennsylvania Blue Shield is changing its name to Highmark Blue Shield 1-888-269-8412 (for individuals who are currently not Pennsylvania Blue Shield members) (Customer Service: 9:00 AM - 9:00 PM, Monday - Friday) 1-877-986-4571 (for current Pennsylvania Blue Shield member  (Customer Service: 8:00 AM - 4:30 PM, Monday - Friday) ... [Read More]

Missouri Attorney General Jay Nixon
reinstated Missouri’s campaign contribution limits and cleared the way nationally for campaign finance reform. In two other cases of significance, Nixon’s work in the Blue Cross and Blue Shield and the Health Midwest cases have resulted in the formation of the state’s two largest health-care foundations, which will use more than $1.5 billion to help provide health-care services to underserved populations of the state. Litigation by Nixon against tobacco companies for illegally marketing cigarettes to young people resulted in the largest settlement in the history of the state. ... [Read More]

Form A Filings
Healthy Alliance Life Insurance Company, HMO Missouri, Inc., and HealthLink HMO, Inc. wholly owned subsidiaries of RightChoice Managed Care, Inc., d/b/a Blue Cross & Blue Shield of Missouri and Alliance Blue Cross and Blue Shield by WellPoint Health Networks, Inc. ...

Any person seeking to acquire control of a Missouri Domestic Insurer must file a Form A Statement with and obtain the approval of the Director of the Missouri Department of Insurance. See sections 382.040-382.060, RSMo , and 20 CSR 200-11.101 . The table below shows the filing and disposition of recent Form A Statements. ... [Read More]

DSS Press Release - May 23, 2005
The DSS Division of Medical Services (DMS) and the Department of Insurance worked together with Blue Cross/Blue Shield of Missouri and its Pharmacy Benefit Manager, Wellpoint, to recover the payments. "We were facing challenges making the process work, so we contacted our sister agency, Department of Insurance. Working together with Blue Cross/Blue Shield, we were able to resolve the issues," said Dr. Mike Ditmore, DMS Director. On May 18, 2005 the first check, in the amount of $1.5 million, was deposited into the Medicaid program’s account. As the remainder of claims is examined, the balance of the total will be forwarded to the program. Gary Sherman, Department of Social Services Director, praised his colleague saying, "Dale Finke didn't hesitate; he and his team were instrumental in facilitating communication." Finke, Department of Insurance Director, added, "It was a pleasure to work with Social Services on this issue. State agencies should work toget ... [Read More]

Rural Health Policy(Ma - Mz) State Funding Opportunities
A program of the Blue Cross Blue Shield of Massachusetts Foundation (BCBSMA), provides grants to support one-time capacity-building expenses for organizations that serve the health care needs of uninsured and low-income people in Massachusetts. Catalyst Fund grants are intended to assist with one-time expenses needed to strengthen an organization's ability to fulfill its mission. Grants of $500 to $2,500 will be awarded to Massachusetts community-based organizations and community health centers. Examples of activities that could be supported include community outreach for health insurance enrollment, health prevention activities, or health care education convening; hiring a grant writer; community meetings to engage stakeholders and constituents; leadership development opportunities; strategic planning activities; and board development and staff training. While requests for other types of capacity-building activities will be considered, these grants are not intended to cover recurrin ... [Read More]

Newsletter - Missouri's Largest Employers
Note: The definition for "largest employers" were those companies listed by ReferenceUSA as having 250 or more employees at a single Missouri location.  Large multi-location employers were then added to the list based on the same consideration of overall employment size.  Of course, the companies listed may be subject to significant employment fluctuations in the present or future. ... [Read More]

HHS-OIG- Reports - Office of Audit Services - Centers for Medicare and Medicaid Services(CMS)
Audit of Blue Cross Blue Shield of Tennessee's Unfunded Pension Costs (A-07-04-00165) ...

Review of Pension Costs Claimed for Medicare Reimbursement By Blue Cross Blue Shield of South Carolina for Fiscal Years 1994 Through 2002 (A-07-04-00176) ...

Ineligible Medicare Payments to Skilled Nursing Facilities Under the Administrative Responsibility of Blue Cross and Blue Shield of Nebraska (A-05-04-00061) ... [Read More]

: HI 01201.390 - Emergency Intermediary Addresses - 09/15/89
Blue Cross-Blue Shield of Oklahoma ...

Blue Cross Blue Shield of North Carolina ...

Blue Cross-Blue Shield of Tennessee ... [Read More]

Sources of Reimbursement
Atena, Anthem Blue Cross Blue Shield, Beechstreet PPO, UKHMO, CHA Health, Bluegrass Health Network, C&O Employee’s Hospital Association CCN PPO, CHAMPVA/Tricare, Cigna, Cooperative Care Bluegrass Care Alliance, Community Health Partnership, Cumberland Health Care, Inc., Direct Care America, Harrod Community Health Plan, Hospice of the Bluegrass, Humana, National Provider Network PPO, One Health Plan, PPO Next/Healthstar/PHN, United Healthcare ...

SHP, Atrium Health Plan, Inc., Benefit Associates, Blue Cross/Shield of Wisconsin, Cigna/Connecticut General, Comprehensive Care Services, Golden Rule Ins., Group Health Coop-Eau Claire, Jeld-Wen Health/Shasta Admin, Medicare, Midwest Security Admin Inc., Professional Benefit Admin., Security Admin Svcs, Select Benefit Administrators, United Healthcare, WC-Sentry Ins., WEA Ins. Trust, WI Health Ins Risk Sharing Pln., WPS Insurtec, Weathershield/Sisco, Wisconsin Medicaid/Badgercare ... [Read More]