United Wants Judge To Reconsider Facility-Fee Coverage Class Ruling

Mealey's (September 26, 2019, 12:56 PM EDT) -- NEW YORK — A health insurer in a Sept. 25 memo asks a federal judge in New York to reconsider a Sept. 11 ruling that allegations that the insurer improperly denied coverage for out-of-network facility fees for certain providers supported certification of a class seeking declaratory and injunctive relief, but not classwide benefit awards, contending that determining whether providers properly obtained an assignment of rights under Employee Retirement Income Security Act plans requires claim-by-claim analysis precluding certification (The Medical Society of the State of New York, et al. v. UnitedHealth Group Inc., et al., No. 16-5265, S.D. N.Y.)....