Kreidler fines Coordinated Care Corporation $35,000 for incorrect claims processing

04/10/2024

OLYMPIA, Wash. — Washington state Insurance Commissioner Mike Kreidler fined Coordinated Care Corporation $35,000 in March for incorrectly processing claims for telehealth services.

Due to a misconfiguration in the company’s system in 2022, a total of 1,872 telehealth claims were inadvertently billed for cost-shares of $177,344. The company corrected the issue and removed the cost shares from those claims.

March fines and consent orders

The fine was part of $255,000 in fines Kreidler’s office issued in March of 2024 for violations of state insurance laws and regulations.…

Kreidler continues scrutiny of Change Healthcare

03/28/2024

OLYMPIA — Washington State Insurance Commissioner Mike Kreidler’s office continues to monitor for impacts and disruptions to healthcare services caused by the recent cybersecurity event involving Change Healthcare. 

Change Healthcare is a subsidiary of United Health Group that also operates Optum Solutions. The February 21, 2024 event compromised systems widely used by providers and insurers to fill prescriptions, approve medical services, and submit costs for reimbursement. The result has been delays for some patients in getting necessary medication, prior…

Kreidler fines New York-based company $100,000 for operating illegally

03/20/2024

OLYMPIA, Wash. — Washington state Insurance Commissioner Mike Kreidler has fined First Premier Home Warranty Corp $100,000 and ordered the New York-based home warranty company to stop conducting insurance business in Washington.

The cease-and-desist order (fortress.wa.gov) — issued March 5, 2024 — noted that First Premier submitted a service contract provider application to the OIC in August of 2022, but never included the documents required to complete the process. Companies must be authorized by the Office of the Insurance Commissioner to transact or solicit insurance business in…

Kreidler fines Molina Healthcare $100,000 for enrollment and billing errors

03/12/2024

OLYMPIA, Wash. — Washington state Insurance Commissioner Mike Kreidler fined Molina Healthcare of Washington $100,000 on Tuesday (fortress.wa.gov) for errors in the company’s enrollment and billing system. 

“Consumers in Washington should be able to rely on their health insurer providing accurate, reliable information,” Kreidler said. “In this situation, the system in place did not provide that assurance for thousands of people, adding confusion and stress to the process of simply obtaining health care.” 

Kreidler’s office opened a review of Molina’s enrollment…