Judge: Medical Transport Prevails Against Authorization, Necessity Arguments

Mealey's (December 10, 2019, 11:25 AM EST) -- CHICAGO — Only a health plan’s participating providers must obtain preauthorization for nonemergency transport, and absent evidence of a closer qualified provider, there exists no reason to conclude that air transport to the facility in question was not medically necessary, a federal judge in Illinois held Nov. 26 (Aviation West Charters LLC v. Health and Welfare Plan for Employees of Anjinomoto USA Inc., et al., No. 18-7431, N.D. Ill., 2019 U.S. Dist. LEXIS 204908)....