Our firm has filed suit against Blue Cross and Blue Shield of Alabama (BCBS) on behalf of the Alabama Dental Association. This Association is made up of 1,600 Alabama dentists. Our lawsuit alleges that these dentists have been systematically underpaid by BCBS for their treatment of BCBS insured’s. These dentists have been victimized by BCBS longstanding monopolization of Alabama’s healthcare market. Primarily, the case focuses on the fraudulent claims practices at Blue Cross. When a dentist treats a patient with BCBS insurance, the dentist submits an invoice for payment of services to BCBS. This invoice is in the form of codes. Each specific treatment or service has a specific code. The lawsuit alleges that BCBS utilizes a computer system to automatically manipulate these codes. This has resulted in the delaying, diminishing, or denying of the dentists’ claims. As a consequence, both dentists and patients are adversely affected. Alabama dentists are entitled to be paid in a timely fashion for rendering dental services to BCBS patients. But, BCBS current methods do not properly and fairly handle the claims of these dentists. BCBS has been sued by dentists and physicians in other states for these same fraudulent practices.
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