Blue Cross Must Review Denied Autism Therapy Claims

Law360, New York (April 1, 2013, 3:18 PM EDT) -- A Michigan federal judge on Saturday ruled that Blue Cross Blue Shield of Michigan had wrongly denied applied behavior analysis therapy claims made by a class of parents of autistic children, saying the company's decision was arbitrary and ordering it to re-examine the claims.

According to U.S. District Judge Stephen J. Murphy III, BCBS had wrongly denied ABA therapy claims by labeling the therapy — which involves behavioral conditioning techniques — "investigative or experimental" using a selective reading of available evidence, and subsequently modifying its 2010...
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