Is A Plan Administrator For A Self-Insured Plan Still Responsible Or Liable For Relevant Document Disclosure Under ERISA §1024(B)(4) Even If A TPA Is Doing Medical Reviews Or Review Of Appeals? These two recent federal appeals court rulings illustrate compliance responsibility and liability for self-insured plans administered by a third-party administrator as to what would
Continue Reading…

Are You Really Filing an ERISA Appeal or Just An Appeal to an ERISA Plan? Maximum Reimbursement through Compliance with ERISA Appeals It has come to our attention that there has been a lot of confusion among health care reimbursement professionals and industry leaders as to the significant difference between a correct, valid and compliant
Continue Reading…

CHICAGO–(Business Wire)–September 10, 2009 Pomerantz Haudek Grossman & Gross LLP today announced that it and co-counsel Buttaci & Leardi, LLC filed a class action lawsuit against the Blue Cross Blue Shield Association BCBSA”) and 22 leading BCBS insurers across the country on behalf of a putative nationwide class of health care providers, as well as
Continue Reading…

PCA v BCBSA Class Action Complaint

PCA v BCBSA Cover Sheet

PCA v BCBSA CM/ECF LIVE

NEWARK, N.J., July 29, 2009 (GLOBE NEWSWIRE) – Pomerantz Haudek Grossman & Gross LLP today announced that it and co-counsel Buttaci & Leardi, LLC, have filed a class action lawsuit against Aetna, Inc., and its various health insurance subsidiaries on behalf of a putative nationwide class of health care providers, the Association of New Jersey
Continue Reading…

(Los Angeles)—On behalf of Ambulatory Surgery Centers (ASCs) across the country, Hooper, Lundy and Bookman, Inc. (HLB) today filed a national class action complaint, challenging UnitedHealth Group, Inc. and other health plans’ misuse of the Ingenix, Inc. database, to knowingly underpay ASCs by millions of dollars over the years (Case No. CV09-0547-GW (PLA)). “For many
Continue Reading…

March 18, 2010 REVISED June 29, 2010 New Porter Review Here United States District Court, E.D. Kentucky, Northern Division, Ashland. “In addition, Plaintiffs’ claim sounds in ERISA. Absent ERISA, there would be no obligation between the parties. Of note in this regard is United States Supreme Court decision in which participants in an ERISA plan
Continue Reading…

Pomerantz Haudek Grossman & Gross LLP Announces That Court Permits Provider ERISA Class Action to Proceed Against Blue Cross Blue Shield Companies for Improper Overpayment Demands and Forced Recoupment.