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Mistakes in Claims Preparation Account for 25% of New York State ConsumerComplaints

August 23, 2004 Mistakes in Claims Preparation Account for 25% of New York State Consumer Complaints At least one-forth of all consumer complaints about health care between July 2002 and June 2003 to the New York State Health Care Bureau Helpline arose from health plan or provider mistakes in claims preparation, processing, and payment; and almost two-thirds of those mistakes are attributable to health plans. These types of complaints have remained the most common health care complaint since at least 2001. Access to specialty care and out-of-network providers accounted for nearly 22 percent of all consumer . . .

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