Welcome to the Compliance Center

Settlement Enforcement Toolkit

To assist you and your practice in ensuring that these settlements are enforced properly,the California Medical Association, the North Carolina Medical Society, the Connecticut State Medical Society, the Texas Medical Association, the Medical Association of Georgia and the Medical Society of the State of New York compiled this toolkit.

Download the Settlement Compliance Enforcement Toolkit now. (Word file - 44 pages)

Questions or problems? Contact the HMO Settlements Compliance Team.

Blue Cross Blue Shield Compliance Information

• Compliance Dispute Documents
  • Compliance Program Announcement
  • Blue Cross Blue Shield Compliance Dispute Step-by-Step Guide (PDF)
  • Blue Cross Blue Shield Compliance Dispute Form (PDF)
  • Press Release: BCBS Compliance Dispute Facilitator Has Been Named: Deborah J. Winegard

Capital Compliance Information

• If you believe there have been any violations of the agreement, please contact the compliance person, Deborah Winegard at dwinegard@gmail.com.

Health Net Compliance Information

• Compliance Dispute Documents
  • Health Net Step-by-Step Compliance Dispute Procedure
  • Health Net Compliance Dispute Form
  • Key Aspects of the Health Net Settlement

Highmark Compliance Information

• Compliance Dispute Instructions
• Compliance Dispute Form

Humana Compliance Information

• Humana Step-by-Step Compliance Dispute Procedure
• Humana Compliance Dispute Form

Wellpoint/Anthem Compliance Information

• Compliance Dispute Documents
  • Wellpoint/Anthem Step-by-Step Compliance Dispute Procedure
  • Wellpoint/Anthem Compliance Dispute Form
  • Key Aspects of the Wellpoint/Anthem Settlement