Insurer: ERISA Rehearing Arguments ‘Overblown,’ Reprocessing Ruling Proper

Mealey's ( April 24, 2023, 2:25 PM EDT) -- SAN FRANCISCO — An insurer told a Ninth Circuit U.S. Court of Appeals panel that the plan required only that any covered procedure qualify as a generally accepted level of medical care and did not require coverage of all such procedures and that the court’s rejection of reprocessing of claims as futile recognized existing law and did not eliminate reprocessing as a remedy under the Employee Retirement Income Security Act....

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