Judge: Some Contract, Fraud Claims Survive Dismissal In Health Care Payment Spat

Mealey's (June 21, 2021, 2:50 PM EDT) -- LOS ANGELES — Allegations that an insurer and its agent failed to properly compensate a provider for medical care cannot support California unfair competition law claims, but allegations that the provider received the necessary authorizations but was still denied payment allows the provider to pursue claims for violation of oral and implied contract, a federal judge in California said June 16 in partly granting the insurer’s and agent’s motions to dismiss....