A Texas judge has ordered Richardson’s Blue Cross Blue Shield of Texas to pay more than $21 million to Knox County Hospital in unpaid insurance claims because of “acts to be willful conduct of fraud,” according to the Times Record News in Wichita Fallas.
Bobby Burnett, the presiding judge of the 50th District Court of Texas, also placed a temporary restraining order against BCBS, according to a release from Knox County Hospital District. The restraining order says it was placed because BCBS willfully secured funds that did not belong to them, they engaged in slanderous activities, breached duty of care, and violated insurance regulations of Texas.
The Knox County Hospital District says that BCBS stopped reimbursing payments in June of 2017, but claimed they were missing due to a computer glitch. The hospital continued to treat Blue Cross plan members and submit claims, and eventually sought intervention from the Texas Department of Insurance, according to the statement.
“The fact is that Blue Cross has not complied with the restraining order issued by a Texas District Court,” said Kelly Dawson, attorney for the Knox County Hospital District told the Times Record.