Accuracy of diagnostic information submitted to an insurance company.

S. S. Sharfstein, O. B. Towery, I. D. Milowe

Research output: Contribution to journalArticle

Abstract

Findings from two studies of the utilization of the mental health benefit under the Washington, D.C., area Blue Cross and Blue Shield Federal Employees Program suggest that diagnostic information submitted to insurance companies on claims forms is often inaccurate and therefore of little use for claims or peer review. The authors conclude that inaccurate information is submitted primarily because of legitimate concerns about patient confidentially. The urge that special claims and peer review procedures be developed to assure confidentiality of sensitive clinical information. A pilot project developed by the Washington Psychiatric Society and Blue Cross and Blue Shield is offered as an example of the kinds of systems that need to be devised.

Original languageEnglish (US)
Pages (from-to)70-73
Number of pages4
JournalAmerican Journal of Psychiatry
Volume137
Issue number1
StatePublished - Jan 1 1980

ASJC Scopus subject areas

  • Psychiatry and Mental health

Fingerprint Dive into the research topics of 'Accuracy of diagnostic information submitted to an insurance company.'. Together they form a unique fingerprint.

  • Cite this

    Sharfstein, S. S., Towery, O. B., & Milowe, I. D. (1980). Accuracy of diagnostic information submitted to an insurance company. American Journal of Psychiatry, 137(1), 70-73.