It is apparent that Trigon is using every effort to refrain from providing information that would demonstrate its particular discrimination against chiropractors and chiropractic services. In turn, the court order compels Trigon to provide studies and other information on which it relies to support its policy of lower reimbursement for services provided by chiropractors, or to admit its policy is not based on any objective evidence.
Trigon officials must also justify the reimbursement amounts they provide to doctors of chiropractic and medical doctors under the applicable CPT codes.ĪCA has supplied Trigon with a compendium of studies and reports detailing the effectiveness of chiropractic care and the superior nature of chiropractic education in the treatment of neuromusculoskeletal conditions. District Court Judge James Jones in Abingdon, Va., recently ruled that Trigon must answer questions comparing the education and training of doctors of chiropractic and medical doctors. Trigon that requires Trigon Blue Cross Blue Shield of Virginia to respond to specific questions about the manner in which it determines reimbursement rates for chiropractic services, and specifically to explain why the company pays doctors of chiropractic less than medical doctors for the same exact services. Send all comments or additions to: to the ACA for permission to reproduce this informationĪCA obtained a court order March 18 from the federal court in Abingdon, VA hearing ACA vs. Trigon Blue Cross Blue Shield of Virginia Balks at ProvidingĮvidence for its Lower Chiropractic Payments
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