Independence Blue Cross to Pay $22.5M to Resolve False Claims Act Allegations
· Texas Border Business
Independence Blue Cross (IBX), a Pennsylvania-based insurance company, has agreed to pay $22.5 million to settle allegations of violating the False Claims Act. The U.S. Department of Justice accused IBX of submitting false diagnosis codes for its Medicare Advantage Plan enrollees, which led to inflated payments from Medicare. The settlement resolves claims that IBX failed to correct inaccurate data and falsely certified its accuracy. A former employee, acting as a whistleblower, will receive $3.825 million from the settlement. This case highlights ongoing efforts to combat healthcare fraud and ensure accountability among insurers.
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