In Case You Missed It: Plan Administrator Must Give Providers ERISA Appeal Process
The ruling in Penn. Chiropractic Ass’n v. BCBSA threatens to make recoveries more difficult for all insurers and may complicate the claims administration of self-funded plans. It also may necessitate self-insured plan sponsors reviewing network contracts with providers. Here’s what happened: a federal district court gave providers ERISA beneficiary status instead of following the language in […]