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Third Circuit Remands Health Care Provider's Reimbursement Litigation to State Court
Health Plan Law
Aug. 22, 2007
Excerpt: When does a health care provider stand in the shoes of a patient and thus become subject to federal court jurisdiction and the formidable defenses of ERISA preemption? This was the question before the district court in Cooper Hospital where the self-funded ERISA health plan declined to pay a substantial portion of billed charges on the view that the charges exceeded what was 'reasonable and customary'.
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