Judge: Emergency Room Provision Dooms Claims By Out-Of-Network Surgery Provider

Mealey's (July 19, 2019, 10:46 AM EDT) -- BROOKLYN, N.Y. — A health insurance plan distinguishes between coverage levels for out-of-network care provided in an emergency setting and the type of brain surgery provided in an inpatient room, a federal judge in New York held in dismissing Employee Retirement Income Security Act claims on June 27 (Jeffrey Farkas, M.D., LLC, et al. v. Cigna Health And Life Insurance Co., et al., No. 18-5232, E.D. N.Y.)....