Judge Finds Health Insurer’s Pre-Authorizations Support Contract Claims

Mealey's (October 6, 2017, 3:07 PM EDT) -- FORT LAUDERDALE, Fla. — A substance abuse treatment provider’s allegations that an insurer pre-authorized treatment only to retroactively decline payment supports contract and Florida trade practices claims, a federal judge held Oct. 3 (Chiron Recovery Center LLC v. AmeriHealth HMO of New Jersey Inc., et al., No. 16-82043, S.D. Fla., 2017 U.S. Dist. LEXIS 163487)....