Plan Required Precertification For Air Transport Services, 6th Circuit Panel Says

Mealey's (August 16, 2018, 7:47 AM EDT) -- CINCINNATI — No coverage is owed to a health plan participant for air transport services because the participant did not receive precertification for the transport and did not prove that the transport was an emergency that was exempt from the precertification process, the Sixth Circuit U.S. Court of Appeals said Aug. 14 in affirming a district court’s ruling in favor of the plan (Jason Springer v. Cleveland Clinic Employee Health Plan Total Care, No. 17-4181, 6th Cir., 2018 U.S. App. LEXIS 22478)....