Violation Tracker Individual Record
Company:
Blue Cross of California dba Anthem Blue Cross
Current Parent Company:
Anthem
Penalty:
$500,000
Year:
2017
Date:
February 23, 2017
Offense Group:
consumer-protection-related offenses
Primary Offense:
insurance violation
Violation Description:
Failure to refer enrollees to contracted providers in neighboring service areas to ensure timely access, where the plan is operating in a service area having a shortage of providers. Failure to arrange for specialty services from specialists outside the plan's contracted network if unavailable within the network.
Level of Government:
state
Action Type:
agency action
Agency:
California Department of Managed Health Care
Civil or Criminal Case:
civil
Facility State:
California
HQ Country of Parent:
USA
HQ State of Parent:
Indiana
Ownership Structure of Parent:
publicly traded
Major Industry of Parent:
healthcare services
Specific Industry of Parent:
insurance; managed care
Source of Data:
http://wpso.dmhc.ca.gov/enfactions/docs/2832/1488386090589.pdf
Source Notes:
If an online information source is not working, check the Violation Tracker Data Sources page for an updated link.
Parent company note:
Parent-subsidiary relationship is current as of the most recent revision listed in the Update Log.
