Blue Cross Blue Shield of Illinois told My Journal Courier that the surgery center incorrectly issued a termination notice for the Blue Choice network and issued misleading messages to members.
Springfield Clinic claims that PPO plans were terminated by Blue Cross Blue Shield of Illinois without consulting the provider.
Ambulatory surgery and endoscopy center procedures will be out of network Aug. 19, while other procedures will shift out of network Nov. 17.
The clinic doesn’t anticipate a resolution, according to its website, which will render it completely out of network come November.
At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.
