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District Court Allows Challenge to Plan's Provider Directory and Out-of-Network Pricing and Reimbursement Disclosures (PDF)
Thomson Reuters / EBIA 
Oct. 10, 2025 "This case highlights challenges to plan actions under the No Surprises Act beyond independent dispute resolution (IDR). Plans and administrators must keep accurate and complete provider network databases to avoid legal risks and reduce costs for participants seeking out-of-network care. They must also focus on transparency in reimbursement determination disclosures to avoid ERISA breach of fiduciary duty claims" [Orrison v. Mayo Clinic, No. 24-1124 (D. Minn. Sep. 19, 2025)] MORE >> |
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