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Tenth Circuit Affirms District Court Decision Requiring Substantial Changes to Health Plan Denial Letters
Troutman Pepper Link to more items from this source
May 18, 2023

"The Tenth Circuit's decision means that health plan administrators cannot rely on compliance with ERISA's claims procedure regulations to establish that the plan engaged in a 'meaningful dialogue' with claimants in addressing an administrative appeal from a determination that particular services were not medically necessary." [D.K. v. United Behavioral Health, No. 21-4088 (10th Cir. May 15, 2023)]

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