Addiction Treatment Provider Organizations Sue Anthem Over Direct Consumer Reimbursement

A group of addiction treatment provider organizations are suing Anthem Blue Cross to recoup more than $1.3 million in underpayments and reimbursements made directly to beneficiaries because the provider organization was out-of-network. The plaintiffs include Adeona, Dual Diagnosis Treatment Center, Medlink, Satya Health, Sovereign Health, and Sovereign Phoenix. The complaint, Dual Diagnosis Treatment Center, Inc., et al., v. Blue Cross of California, was initially filed on May 8, 2015. On March 31, 2019, the judge began considering the plaintiffs’ request to file a Fourth Amended Complaint. Trial is currently set for April 7, 2020.

The original complaint . . .