Judge Finds Insurer’s Fraud Claims Regarding Overbilling Not Preempted By ERISA

(December 15, 2015, 3:44 PM EST) -- CAMDEN, N.J. — A federal judge in New Jersey on Dec. 8 denied a not-for-profit health service corporation’s request for summary judgment on its counterclaim in a suit brought by Horizon Blue Cross Blue Shield of New Jersey accusing the defendant company of committing insurance fraud by overbilling the insurer for patients treated for alcohol dependence, ruling that the insurer’s claims are not preempted by the Employee Retirement Income Security Act (ERISA) (Horizon Blue Cross Blue Shield of New Jersey v. Transitions Recovery Program, No. 10-3197,...
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