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California fines Anthem Blue Cross for violating customers’ grievance rights
Southern California Public Radio

The Department of Managed Health Care said Tuesday that it has fined Anthem Blue Cross $415,000 for violating some of its health plan members’ grievance and appeal rights.

The penalty levied against Anthem Blue Cross involved 83 violations in 40 cases. They include failure to adequately consider and resolve an enrollee’s grievance; failure to resolve a grievance within the 30-day time frame set forth under state law; failure to adequately explain the reason for denying treatment; and failure to respond in a timely fashion to Managed Health Care’s investigation.