Search for: "Cross v. Blue Cross/Blue Shield" Results 101 - 120 of 351
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2 Apr 2015, 4:00 am by The Public Employment Law Press
”Here the 1984-1987 and 1987-1990 CBAs provided that "[a]ny administrator who retires . . . shall continue to receive the Blue Cross/Blue Shield coverage in effect at the time of his or her retirement, excluding dental coverage and major medical insurance, until the administrator becomes eligible for Medicare, at which time the Board [of Education] shall no longer provide such coverage" while the 1990-1994 CBA provided that "[a]ny… [read post]
10 May 2020, 6:05 am by Mark S. Humphreys
  Beasley’s health insurer, Blue Cross Blue Shield (BCBS) has a negotiated rate with the medical providers and paid $1,068.90, and no attempt was made against Beasley by the medical providers to recover any further monies. [read post]
5 Jan 2012, 3:13 pm by Bonny Rafel
Horizon Blue Cross Blue Shield of New Jersey, 301 B.R. 662 (Bankr D.N.J. 2003) (providers have standing to demand payment in the absence of an anti-assignment clause), and Ambulatory Surgical Center of New Jersey v. [read post]
21 Jan 2010, 4:32 pm by Barger & Wolen LLP
Blue Shield Life cross-complained seeking a declaratory judgment that it rightfully rescinded the insurance contract, thereby precluding Nieto from maintaining her action. [read post]
19 Dec 2016, 6:56 am by Liisa Speaker
If you’re curious about frivolous defenses and vexatious appeals, the case of Miller v Blue CrossBlue Shield Michigan, No: 326300, unpublished, is worth a read.The facts concern a denial of coverage by Blue Cross Blue Shield Michigan (BCBSM) for care provided to Francis Miller, who, after challenging the denial, petitioned the Washtenaw County Circuit Court to review the decision. [read post]
3 Apr 2024, 1:15 pm by NARF
Blue Cross and Blue Shield of Michigan (Michigan Health Care False Claims Act (HCFCA)) Waukegan Potawatomi Casino, LLC v. [read post]
26 May 2009, 11:56 am
A recent court case involving a New Jersey insurance plan (Horizon Blue Cross Blue Shield of N.J. v. [read post]
19 Nov 2022, 12:40 pm by Andrew Delaney
 In re Blue Cross and Blue Shield, 2022 VT 53. [read post]
14 Jun 2014, 2:58 am by Marty Lederman
  Of the other six, five have contracted with regulated private insurers (such as Blue Cross Blue Shield) to offer a health insurance plan to their employees, while the sixth offers its employees access to “self-insured” plans that are administered by private parties such as Blue Cross Blue Shield of Michigan and Express Scripts. [read post]
4 Mar 2022, 1:44 pm by Andrew Hamm
Horizon Blue Cross Blue Shield of New Jersey addresses whether parties to a civil settlement can agree that the payments will not be dischargeable in bankruptcy. [read post]