Docs beat the Blues.

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  • Additional Information
    • Subject Terms:
      UNITED States; MIAMI (Fla.); FLORIDA
    • Subject Terms:
      BLUE Cross & Blue Shield Association
    • Abstract:
      The article reports on the settlement between physicians and Blue Cross and Blue Shield Association and 23 Blue Cross and Blue Shield plans in Miami, Florida. The case reached the federal court, prompted for a revision of claims-payment protocols, set up a method to determine the medical necessity and resolved billing disputes. The revised plans agreed to pay valid clean electronic claims and valid clean paper claims.