Tue 20 Oct 2009
[Guidance Overview] Balance Billing Practices May Constitute Breach of Contract
Posted by hope under UncategorizedComments Off
Excerpt: "This district court opinion holds interest for health care providers and benefit fiduciaries alike. As against a motion to dismiss, the district court holds that the plaintiffs have stated a cause of action against the health care provider for balance billing, i.e., billing the balance 'owed' after their health plan paid the PPO discounted rate." (Attorney Roy F Harmon III in the Health Plan Law blog)