ERISA Insurer: Reviewers’ Decisions Support Denial For Residential Treatments

Mealey's (December 13, 2021, 2:04 PM EST) -- DENVER — The fact that three separate reviewers found residential treatment not medically necessary demonstrates that a denial of insurance coverage was not arbitrary or capricious and should end the analysis even if a separate reason for denying coverage was improper, an insurer tells the 10th Circuit U.S. Court of Appeals in a Dec. 8 opening brief....