Law360 (January 15, 2019, 7:45 PM EST) -- The Eighth Circuit ruled Tuesday that UnitedHealth Group Inc. isn't allowed to offset overpayments to providers from certain health plans by withholding payments to those providers from other health plans, affirming a lower court's finding that the insurer's interpretation of plan documents was unreasonable.
The three-judge panel said in its opinion that there isn't anything in the plan documents that authorizes UnitedHealth's practice of "cross-plan offsetting," in which the insurer keeps payments from providers for services rendered under one plan to recoup payments believed to be owed for services they provided under another plan. The panel affirmed the district court's award...
Stay ahead of the curve
In the legal profession, information is the key to success. You have to know what’s happening with clients, competitors, practice areas, and industries. Law360 provides the intelligence you need to remain an expert and beat the competition.
Access to case data within articles (numbers, filings, courts, nature of suit, and more.)
Access to attached documents such as briefs, petitions, complaints, decisions, motions, etc.
Create custom alerts for specific article and case topics and so much more!