Surgery Authorization Invokes ERISA, Requires Dismissing Case, Judge Says

(June 19, 2019, 2:04 PM EDT) -- TRENTON, N.J. — Because a written pre-authorization specifically bases payment for health care services on various provisions in an Employee Retirement Income Security Act plan, resolving the case would require investigation of the plan, a federal judge in New Jersey held June 14 in dismissing a provider’s claims (Comprehensive Spine Care, P.A. v. Oxford Health Insurance Inc., et al., No. 18-13874, D. N.J., 2019 U.S. Dist. LEXIS 100810)....

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