Blue Cross and Blue Shield of Georgia Inc. has settled a lawsuit filed last year by The Medical Center of Central Georgia, which alleged the insurance company had underpaid the hospital by more than $22 million.
Terms of the settlement, which also involved Blue Cross Blue Shield Healthcare Plan of Georgia Inc., haven’t been made public.
Both sides filed to dismiss the lawsuit in Bibb County Superior Court Dec. 18.
Jaime Theriot, a lawyer representing the insurance company, said the settlement is confidential.
Hospital spokeswoman Megan Allen said the hospital, now known as Medical Center, Navicent Health, “has resolved its differences” with the insurance company, and “patients’ access to care has not been impacted.”
Superior Court Judge Verda Colvin issued an order Dec. 1 that urged the hospital and the insurance company to discuss a possible settlement and instructed them to participate in mediation if a deal wasn’t made within five days.
The original lawsuit, filed in February 2013, alleged Blue Cross breached agreements. After a 2010 audit, the hospital wrote to the insurance company seeking payment, and the insurance company denied any underpayments.
Of the alleged underpayments, the hospital argued $1,191,254 in reimbursements were owed relating to 2011 cardiac catheterization procedures. Another $2,240,369 allegedly was owed from claims dating back to 2009 involving babies who were healthy upon delivery.
Information from Telegraph archives was used in this report. To contact writer Amy Leigh Womack, call 744-4398.