12/11/2025
Here's some "inside baseball" for you all:
When insurance companies don't update their databases of participating providers, it allows them to claim they have enough providers when they really don't. This is called a "ghost network", because the providers don't actually exist. This is a violation of both state and federal law.
I left the Carelon Behavioral Health insurance panel, and by extension the Anthem Blue Cross and Blue Shield, and Excellus BlueCross BlueShield panels on January 1, 2025. I am still listed as "in-network" for both BCBS plans. There is no way for me to remove myself from the website. I have tried multiple times. I repeatedly disappoint potential clients who found me on the BCBS websites when I tell them I'm not actually in network. My website has accurate information, but so few folks actually check anything other than the health insurance website.
When I worked for a group practice, Carelon assigned my phone number to both myself and a former colleague, and I still get calls for her. We have been trying for more than 5 years to get that corrected to no avail. My colleague is missing out on opportunities, and potential clients hit a dead end with me.
This kind of database mismanagement is why it is so difficult for people to find a provider who works for them. The entities listed above had been sued multiple times over this, most recently this year, and still it continues.