Anthem Sued by Doctors in Dispute Over Emergency-Room Coverage
- Legal challenge escalates battle over how patients seek care
- Insurer says policy aims to cut down on unnecessary ER visits
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The health insurer Anthem Inc. was sued by doctors in Georgia for declining to pay for some emergency-room care, escalating a long-running battle over how far insurance plans can go to push patients to seek lower-cost treatment.
The American College of Emergency Physicians and the Medical Association of Georgia filed suit on Tuesday in U.S. District Court in Atlanta against Anthem’s Blue Cross and Blue Shield of Georgia unit over the denied payments. The doctors asked the court to require Anthem to halt its policy and cover the claims.