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Home / Opinion Digest / Contract / Contract – Medicare Provider & Insurer – Administrative Exhaustion – Claim Denials (access required)

Contract – Medicare Provider & Insurer – Administrative Exhaustion – Claim Denials (access required)

Upstate Lung & Critical Care Specialists, P.C. v. Care Improvement Plus Practitioners, LLC (Lawyers Weekly No. 002-154-17, 8 pp.) (Mary Geiger Lewis, J.) 7:15-cv-04801; D.S.C. Holding: Although the parties’ contract required plaintiff to follow defendant’s appeal process for denied claims before litigating such claims, it is unclear when or even whether defendant actually denied certain claims ...

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