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Can Health Care Providers use ERISA for Delayed Payment of Claims?

  
  
  
  
ERISA for delayed payment of claims

On November 10, 2010, the United States District Court for the Southern District of Texas issued a Memorandum and Order regarding ERISA and delayed payment of claims.  In the case of North Cypress Medical Center, et al. v. Med Solutions, Inc., Civil Action H-10-2608, plaintiffs, North Cyprus Medical Center Operating Company, Ltd. and North Cyprus Medical Center Operating Company GP, LLC (collectively “North Cyprus”), a 150-bed hospital facility sued defendant, Med Solutions, Inc., a third party administrator for several insurers for alleged intentional delayed payment for health care claims.  Plaintiffs brought an action for breach of fiduciary duty under ERISA.

New ERISA Decision Aids Defense of Insurance Post-Payment Reviews

  
  
  
  

Federal Court Says ERISA Completely Preempts Breach of Contract and Fraud in the Context of Post-Payment Reviews and Audits

ERISA Preemption and Standing

  
  
  
  
Health Care Attorney PA

ERISA Preemption and Standing

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Court Hands Down ERISA Decision

  
  
  
  

U.S. Court in Pennsylvania Finds Plaintiffs Failed to Exhaust Administrative Remedies under ERISA

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