COM., D. OF PUBLIC WEL. v. Blue Cross

McGINLEY, Judge.

The Department of Public Welfare (DPW) has filed a complaint pursuant to our original jurisdiction seeking a declaration that defendants Blue Cross of Western Pennsylvania (Blue Cross) and Medical Service Association of Pennsylvania, doing business as Pennsylvania Blue Shield (Blue Shield) are improperly refusing to pay for state mental hospital services under defendants’ “Blue Cross Prime” and “Major Medical Prime” subscription agreements. DPW also seeks money damages in the form of payment for state mental hospital services for four individual patients.

Defendants Blue Cross…