Overcast 33°
Tag:

Horizon Blue Cross Blue Shield

News
NJ's Largest Hospital System Ends In-Network Partnership With Horizon Over Price Disputes NJ's Largest Hospital System Ends In-Network Partnership With Horizon Over Price Disputes
NJ's Largest Hospital System Ends In-Network Partnership With Horizon Over Price Disputes Hackensack Meridian Health announced it is ending its in-network partnership with Horizon Blue Cross Blue Shield, effective June 1. A spokeswoman for Hackensack Meridian Health, New Jersey's largest not for profit healthcare organization, said they were unable to reach an agreement despite "lengthy negotiations."  "We have been and remain committed to reaching an agreement but must receive fair care reimbursements from Horizon to continue to invest in the care, medical technology, and locations that the local communities we serve rely on and expect," Jessica Cohen Nussman, public …

SHARE

by Sam Barron
News
State: Jersey Shore Chiropractor, 73, With Fraud History Files 261 Bogus Insurance Claims State: Jersey Shore Chiropractor, 73, With Fraud History Files 261 Bogus Insurance Claims
State: Jersey Shore Chiropractor, 73, With Fraud History Files 261 Bogus Insurance Claims A Bayonne-based chiropractor from the Jersey Shore with an insurance fraud conviction already on his record did it again, state authorities charged. Charles B. Boas, 73, of Matawan, got probation seven years ago after pleading guilty to collecting nearly $13,000 through bogus claims, records show. State officials announced Wednesday that they'd caught him in an even bigger scam -- this time involving hundreds of false submissions to Horizon Blue Cross Blue Shield. A grand jury in Trenton indicted Boas on 261 counts involving health care claims fraud, theft by deception and tax evasions, Ac…

SHARE

by Jerry DeMarco
Police & Fire
Health Insurance Fraud Sentence: Fed Pen, $1M Restitution For Fort Lee Broker From Old Tappan Health Insurance Fraud Sentence: Fed Pen, $1M Restitution For Fort Lee Broker From Old Tappan
Health Insurance Fraud Sentence: Fed Pen, $1M Restitution For Fort Lee Broker From Old Tappan A Fort Lee insurance broker must spend six months in federal prison -- followed by six months of home confinement -- and repay $1 million that was siphoned from a Horizon Blue Cross Blue Shield and the United Auto Workers (UAW) Local 2326 Health Care Plan. Lawrence Ackerman, 55, of Old Tappan originally was indicted by a federal grand jury on charges of conspiring to defraud Horizon Blue Cross Blue Shield of $5.6 million by covering 700 to 800 ineligible participants through bogus – or “shell’ – companies. Ackerman, in turn, pleaded guilty in December 2018 to health care fraud for deliverin…

SHARE

by Jerry DeMarco
Police & Fire
Fort Lee Insurance Broker From Old Tappan Admits Role In $5.6M Health Insurance Scheme Fort Lee Insurance Broker From Old Tappan Admits Role In $5.6M Health Insurance Scheme
Fort Lee Insurance Broker From Old Tappan Admits Role In $5.6M Health Insurance Scheme A Fort Lee insurance broker who lives in Old Tappan admitted his role Friday in siphoning millions of dollars from Horizon Blue Cross Blue Shield and the United Auto Workers (UAW) Local 2326 Health Care Plan. Lawrence Ackerman, 54, conspired with the former Local 2326 president, Sergio Acosta, to defraud Horizon Blue Cross Blue Shield of $5.6 million by covering 700 to 800 ineligible participants through bogus – or “shell’ – companies, a federal indictment handed up last year charged. Acosta, formerly of Passaic, pleaded guilty to embezzlement charges in April. Ackerman, who acted as …

SHARE

by Jerry DeMarco