"A recent court ruling granting class certification to individuals suing Blue Shield of California over its refusal to cover a procedure it considers experimental and investigational (E&I) speaks to the importance of both payers and employers making it very clear what it will and will not cover -- and where members and providers can check to see if a recommended procedure or supply falls into the 'E&I' category.... Payers and employers alike should carefully review their summary plan descriptions, contracts and websites to make sure E&I is described clearly and accurately, and that consumers and providers alike know exactly where to locate information." [Escalante v. California Physicians' Service dba Blue Shield of CA, No. 14-cv-03021 (C.D. Cal. July 14, 2015)]

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