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Hospital's ERISA Claims Against TPA and PPO Network Dismissed
Health Plan Law
Nov. 16, 2006
Excerpt: As an assignee of the ERISA beneficiary's rights, the hospital ... had a very limited array of options. On the positive side, the hospital could pursue the claim for benefits against the plan. Of course, that action is constrained by all of the typical limitations of claims for benefits such as the rules permitting deference to plan interpretations and decisions of plan administrators, limitation of discovery and evidence to the administrative record[.]
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