ERISA Insurer To 10th Circuit: Provider Opinion Ruling Provides Limited Insight

Mealey's (October 28, 2022, 10:04 AM EDT) -- DENVER — A recent ruling in an Employee Retirement Income Security Act case requiring that an insurer more thoroughly explain why it rejected providers’ opinions in denying coverage involves contrasting reviewer opinions unlike the instant case and relies on precedent from outside the medical claims context, an insurer tells the 10th Circuit U.S. Court of Appeals in an Oct. 11 letter....

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