ST. PAUL, Minn. -- Through aggressive health care fraud investigations and coordination among other states' Blue Cross plans, the Blue Cross Special Investigations Unit (SIU) stopped payment on $8.7 million of suspect claims last year, reducing the impact of fraud on premiums in Minnesota.
"Our experience has been that the overwhelming majority of providers and consumers act ethically and responsibly in submitting their health care bills; however, there are exceptions who are trying to make money illegally at the expense of payers," said Dave Bohnenstingel, SIU manager. "Unfortunately, those fraud losses must be borne by our customers in the form of higher premiums."
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