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5th Circ. Revives Texas Hospital's $58M Underpayment Suit

Law360 (June 13, 2018, 4:21 PM EDT) -- In a published opinion, the Fifth Circuit has revived a hospital's $58 million suit against several insurance companies over alleged underpayments, saying that the Texas hospital did not need to provide details from specific insurance plans to pursue claims because the companies refused to hand over the plan documents.

The appellate court ruled on Tuesday that when insurance plans are in the possession of insurance companies, a hospital pursuing claims under the Employee Retirement Income Security Act does not need to provide specific language from a...
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Case Information

Case Title

Innova Hospital San Antonio LP v. Blue Cross & Blue Shield of GA, et al

Case Number



Appellate - 5th Circuit

Nature of Suit

4110 Insurance

Date Filed

December 8, 2014

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