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Insurers draw heat for error-riddled provider directories
Modern Healthcare

A ruling in California that two major health insurers failed to give consumers accurate information about providers participating in their plan networks could force others in the industry to quickly improve their protocols.

The California Department of Managed Health Care released scathing reports Tuesday regarding plans sold by Anthem Blue Cross (a subsidiary of investor-owned WellPoint) and Blue Shield of California on Covered California, the state’s Obamacare exchange.

The report on Anthem found that 12.5% of the physicians listed in the insurer’s provider directory for exchange plans had inaccurate locations. Further, the state called thousands of doctor offices and found almost 13% did not take patients who had Anthem’s exchange plans even though they were listed as in-network.