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Latest News and Updates

Third Circuit: Out-of-Network Provider’s Common Law Claims Not Preempted by § 514 of ERISA

In a landmark decision for out-of-network healthcare providers, the Third Circuit recently held in a published opinion that an out-of-network provider’s direct claims against Aetna for breach of contract and ...

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Essential Adaptations: Payer Audits 101

Firm Member Vincent N. Buttaci recently appeared on Essential Adaptations, a video podcast hosted by Dr. Jeff Frederick and Dr. John Guiliana of Podiatry Risk Group. Mr. Buttaci discussed the ...

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Third Circuit Affirms the Enforceability of Anti-Assignment Clauses in ERISA Plans, While Also Affirming a Provider’s Right to Proceed in Challenging a Benefit Denial on Behalf of a Patient through a Limited Power of Attorney.

On May 16, 2018, the Third Circuit in American Orthopedic & Sports Medicine v. Independence Blue Cross Blue Shield held anti-assignment clauses in ERISA governed health insurance plans are generally ...

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Third Circuit Holds No "Magic Words" Needed in an Assignment of Benefits to Create Derivative Standing under ERISA

On September 11, 2015, in North Jersey Brain & Spine Center v. Aetna, Inc., the Third Circuit held in a precedential opinion that a patient’s assignment of benefits does not ...

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Recent Posts

  • 1 Elizabeth Rice
    • COVID-19: April New Jersey Telehealth Updates
    • Federal Judge Presses Pause of Recoupment
    • Will NJ Policyholders Get Their Day in Court?
  • 1 Frank Wukovits
    • COVID-19: SBA Reopens Applications for Disaster Loans
    • PPP Flexibility Act: Loan Forgiveness Updates
  • 1 John Leardi
    • Essential Adaptations: Payer Audits 101
    • Prosperity & Something Greater: Freedom, Vision, & Charting Your Own Course
    • Two Seton Hall Law Students to Join the Firm as 2020 Summer Associates
  • 1 Kristen Basista
    • COVID-19-Related Stimulus Options for Healthcare Providers
    • COVID-19 And The New Jersey Workplace
    • COVID-19 and Telemedicine
  • 1 Nicole Allocca
    • Third Circuit: Out-of-Network Provider’s Common Law Claims Not Preempted by § 514 of ERISA
    • COVID-19: NJ Courts Announce Phased Reopening Plan
  • 1 Nicolette Guarneri
    • COVID-19: States Provide Immunity for Healthcare Providers During Covid-19 Pandemic
    • COVID-19: Price-Gouging During a Public Health Crisis

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