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Eleventh Circuit Again Dismisses Provider Claim for ERISA Statutory Penalties Based on Language in Written Assignment of Rights and Benefits

Eleventh Circuit Again Dismisses Provider Claim for ERISA Statutory Penalties Based on Language in Written Assignment of Rights and Benefits

In A. Griffin v. United Healthcare Services, Inc., No. 23-13429, 2024 WL 1855456 (11th Cir. Apr. 29, 2024), the Eleventh Circuit affirmed the dismissal of Dr. Griffin’s lawsuit seeking damages…

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Ninth Circuit Revives Putative Class Action Claims Against UnitedHealth Group for Violation of MHPAEA and ERISA

In Ryan S. v. UnitedHealth Grp., Inc., No. 22-55761, __F.4th__, 2024 WL 1561668 (9th Cir. Apr. 11, 2024), Plaintiff-Appellant Ryan S. brought a putative class action against Defendant-Appellee UnitedHealth Group,…

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Eleventh Circuit Affirms Dismissal of Health Provider’s ERISA Claims Due to Valid Anti-Assignment Provisions

In Griffin, MD v. Blue Cross Blue Shield Healthcare Plan of Georgia, Inc., et. al, No. 22-14187, 2024 WL 889560 (11th Cir. Mar. 1, 2024), the Eleventh Circuit considered the…

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Second Circuit Affirms United’s Denial of “Facility Fee” Payments to Physicians Performing Office-Based Surgeries in New York

In The Med. Soc’y of the State of New York, et al. v. UnitedHealth Grp. Inc., et al., No. 22-2702-CV, 2024 WL 177448 (2d Cir. Jan. 17, 2024), Plaintiffs, representing…

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Ninth Circuit Finds Assignment of Rights Gives Surgery Center Authority to Sue Anthem for Non-Payment of Benefits

In Coast Specialty Surgery Ctr., Inc. v. Blue Cross of California, No. 22-55717, __F.4th__, 2024 WL 105317 (9th Cir. Jan. 10, 2024), the Ninth Circuit held that Plaintiff-Appellant South Coast…

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Tenth Circuit Finds UnitedHealthcare Abused Its Discretion by Failing to Consider Independent Ground for Coverage for Residential Treatment Benefits

In Ian C. v. UnitedHealthcare Ins. Co., No. 22-4082, __F.4th__, 2023 WL 8408199 (10th Cir. Dec. 5, 2023), the Tenth Circuit determined that UnitedHealthcare Insurance Company’s (United) denial of residential…

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