Datapoint: Bright Health Faces Unpaid Claims Lawsuit

Startup insurer Bright Health is facing a lawsuit from a health care provider group that claims the company failed to play claims for care administered at its Oklahoma facilities.  St. Louis-based SSM Health says its complaint that Bright Health owes it nearly $13.1 million for 2,541 claims made by the insurer’s members between Jan. 1, 2020, and Feb. 7, 2023. Bright exited Oklahoma, as well as 14 other states where it sold Affordable Care Act exchange plans, at the beginning of 2023 amid ongoing financial struggles, leaving the firm to sell only Medicare Advantage plans in California, where it currently enrolls 76,505 MA members. Meanwhile, regulators in states including Florida and Tennessee have put Bright Health under administrative supervision.

Source: AIS’s Directory of Health Plans

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