Highmark Blue Shield (Pennsylvania) Violates ERISA Law, Breaches Fiduciary Duty, Denies SPD Requests, Approves Payments Yet Secretly Withholds These Payments From Doctors While Claiming Payments Made. If it looks and sounds like fraud, extortion, racketeering and money laundering is it according to Federal Law? Camp Hill, PA Pennsylvania
According to a story: http://www.post-gazette.com/pg/08165/889485-28.stm
As per Federal ERISA Law, at least 2 levels of appeals have been filed on behalf of hundreds of Highmark Blue Shield Policyholders seen by the St. Marys doctor, yet the Federal ERISA Law remains ignored by Highmark, Pennsylvania's largest health insurance provider.
Though no state law prohibits these blatant and disruptive tactics, Federal ERISA Law does. As it stands now with 3 levels of ERISA Appeals filed in this case, possible fines amounting to the sveral-millions-of-dollars range may be assessed to Highmark ("pocket change"?) along with various St. Marys Area Employers' Human Resources Managers who have also breached their fiduciary duties even though they are probably unaware (and "several millions of dollars" is probably not "pocket change" to these people).
Could this be why Highmark has done its best to keep all of its activities a secret from everyone but the doctors whom they "bully"?
It is a very strong probability.
Also see: http://erisaclaim.com/erisa_1_2_3.htm
Justice
PA, Pennsylvania
U.S.A.