Judge Reverses Mental Health Coverage Denial, Citing Procedural Violations

Mealey's (March 29, 2021, 3:02 PM EDT) -- SALT LAKE CITY — By repeatedly citing only the medical necessity of mental health treatments while failing to address substance abuse issues or the difference between acute and subacute levels of care an insurer violated its obligations under the Employee Retirement Income Security Act, a federal judge in Utah said March 24 in reversing and remanding the case for a proper claims process....