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Anthem Blue Cross and Blue Shield, the state’s largest insurance company, owes the state’s hospitals nearly $300 million in unpaid claims, according to a report released by the New Hampshire Hospital Association, reports the New Hampshire Bulletin. The report said Anthem had not followed through on promises made in 2021 to improve its handling of claims. The NHHA report also alleges that Anthem’s internal systems are so flawed that it’s charging higher out-of-network prices for providers that are in its network.