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Third Circuit: Out-of-Network Health Care Provider's Breach of Contract and Promissory Estoppel Claims Not Preempted by ERISA
Lane Powell PC Link to more items from this source
July 28, 2020

"This issue comes up more frequently now with managed care organizations creating networks of doctors or preferred providers, and the issue that arises is: at what rate should the insurer pay for services provided by out-of-network health care providers. And what happens when the insurer expressly agrees to pay the out-of-network provider, before services are rendered?" [The Plastic Surgery Center, P.A. v. Aetna Life Ins. Co., No. 18-3381 (3d Cir. Jul. 17, 2020)]

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