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Blue Cross and Blue Shield of North Carolina could be fined 'millions' over coverage, billing complaints

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Blue Cross and Blue Shield of North Carolina could be fined 'millions' over coverage, billing complaints

Blue Cross andBlue Shield of North Carolina could be fined "millions ofdollars" over technology problems affecting coverage, billing and paymentsfor thousands of customers.

North Carolina Insurance Commissioner Wayne Goodwin told"a group of News & Observer editors" that he expects to issue afine against the company, The CharlotteObserver reported May 4. The department expects to conclude its investigationon May 27 after which the insurer will have 30 days to respond to the findings.

Goodwin said the company's software for insurance billingand administration is encountering problems for four months. The companytransferred more than 400,000 customers to a new software system in Januarywhich led to the technology problems, affecting customers on individual healthinsurance policies purchased through the federal exchange as part of theAffordable Care Act.

A spokesman for Blue Cross told the news outlet that onlyabout 15% of the company's customers are being affected from the problem andthe amount of delayed claims will drop in the coming weeks, according to thereport.

The company could be fined up to $1,000 per violation perday, according to state law, the news outlet reported.