- Outpatient surgical center sued health insurer for alleged underpayment of claims under ERISA. Insurer asserted various defenses, including statue of limitations, failure to exhaust administrative remedies under ERISA, lack of standing due to anti-assignment provisions in health plans, and that all benefits due under the contracts were paid.
- Multiple lawsuits by medical providers against health insurers regarding re-pricing reductions for payments to out of network health care providers.
- Multiple lawsuits by the federal government against medical providers for reimbursement of fraudulent billings for unnecessary medical services under Medicare for inpatient admissions of Medicare beneficiaries for whom inpatient care was not medically necessary.
Tel: (310) 201-0010