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Highmark fined for denied and delayed claims payments

Posted On: Feb. 13, 2023 10:14 AM CST

The Pennsylvania Insurance Department fined Highmark Inc. $205,000 for violations including incorrectly denied claims, untimely payments and violations of mental health parity requirements, reports Becker’s Payer Issues. The Insurance Department found the issues during an audit of the state's largest health insurers. Regulators ordered Highmark to reprocess incorrectly processed claims and ensure members receive timely services for enrollment and billing issues.