7 payer’s violations that received fines in 2025 were outlined in Becker’s Payer Issues
- Anthem Blue Cross of California
- Centene’s Human Affairs International of California subsidiary was fined $300,000 by the state in June for failing to meet timely access to healthcare appointment compliance standards, specifically for urgent care appointments, as required under the Knox-Keene Health Care Service Plan Act.
- **California’s timely access to healthcare appointment standards requires health plans to provide timely access to care, ensuring members receive appointments within specific timeframes for urgent and non-urgent services. For Urgent Care that time frame is 2 days. For a flyer on these requirements see the CADMC website.**
- UnitedHealthcare
- BCBS Rhode Island
- Aetna
- Blue Shield of California
- Cigna
For details on violations and fines applied to the other payers see the Becker’s Payer Issues article linked above.