Blue Cross Blue Shield of Texas began a new policy Monday to stop paying certain emergency room claims if they don’t consider the visit necessary.
So how does the procedure work, and how can patients lower the odds of their claim being denied?
James Campbell, Sr. Manager Communications for Blue Cross Blue Shield of Texas, tells KHOU the new “process” concerns only their HMO members, who Campbell says do not have an out-of-network emergency room benefit unless “the required care is emergent.”
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