ND Insurance Commissioner fines Blue Cross $125,000 after review

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BISMARCK, N.D. - North Dakota Insurance Commissioner Jon Godfread is fining Blue Cross Blue Shield of North Dakota (BCBSND) $125,000 after a market review showed issues in the way the company handled mental health and substance abuse claims.

The Insurance Department says they found violations in mental and behavioral health and substance abuse claims, including parity; telehealth services coverages and claims; independent external review assignment and procedures; policy form filing; coordination of benefits, insurance fraud reporting; and operational governance and governance of subsidiaries.

The department says in additino to the fine, BCBSND will invest $300,000 to address the issues found in the review.