Judge Largely Rejects Breast Reconstruction Payment Challenge

Mealey's (May 18, 2021, 9:14 AM EDT) -- CAMDEN, N.J. — The lack of definition of what constituted the maximum reimbursable charge permits the conclusion that an insurer inconsistently applied payment methodology, a federal judge in New Jersey said April 29 in ordering remand for calculation of the proper payment amount but otherwise granting insurer defendants summary judgment....