Special Master Orders Sampling Of Insurer’s Residential Treatment Denials

Mealey's (February 1, 2022, 10:13 AM EST) -- SAN FRANCISCO — An insurer must sample coverage denials to ascertain whether it denied coverage of certain ASAM levels and whether denials of coverage on these grounds falls within a remedies order, a special master said Jan. 20 in rejecting complaints that there is no evidence of denials based on specific ASAM levels and that performing a retroactive sampling would be overly burdensome while in a separate Jan. 5 order the judge in the case awarded $1,230,729.86 in costs and $19,628,071.88 in fees....