Hopkins says CareFirst owes $2 million in claims

Baltimore Business Journal, June 3, 2008

Johns Hopkins Healthcare LLC is suing CareFirst of Maryland Inc. for $2 million, claiming the insurer owes it that much for claims made since October 2004. In a lawsuit, Johns Hopkins says CareFirst denied or underpaid nearly 15,000 claims for healthcare services performed through April 30. Johns Hopkins also claims that CareFirst reduced some negotiated Medicare reimbursement rates without disclosing the changes, used outdated fee schedules and made mathematical computing mistakes, among other processing errors.