Monthly archives for January, 2015

Federal Court Certifies Provider Clas...

Federal Court Certifies Provider Class “Without Condition” Against UnitedHealth For Violating ERISA
  On Dec 15, 2014 a federal judge certified a class of healthcare providers suing UnitedHealth for alleged improper over-payment recoupments.  This case is another in a series of cases involving insurance carriers and alleged over-payment recoupment tactics. The crux of the cases is the notion that healthcare providers must be allowed [...]

Federal Appeals Court Sides with Out-...

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Federal Appeals Court Sides with Out-of-Network Providers and Patients On Nov. 5, 2014, federal Court of Appeals ruled for out-of-network provider’s ERISA right to sue UnitedHealth on behalf of patients for out-of-network deductible waiver claim denials. In a much anticipated case, the 9th Circuit sided with Spinedex Physical Therapy U [...]