The Insurance Commission of Arizona shall review and pursue all allegations of insurance fraud by an insurance company even if a insurance company has paid money on an insurance claim.
Why is this important?
Presently the Arizona Insurance Commission does not get involved if a health insurance company pays any money toward a claim. Consequently, in emergency situations a health insurance company can get away with paying out-of-network 60% vs the 80% that should be paid for emergency situations. example: a car accident where the patient is taken to the closest hospital. This causes personal hardship and an increase in filing for personal bankruptcy in Arizona.
