Sanus/New York Life Health Plan, Inc. v. Dube-Seybold-Sutherland Management, Inc.

OPINION

DUGGAN, Justice.

This is a suit involving a health maintenance organization’s failure to pay fees claimed by a dental care provider under a contract. 1 .

The Parties.

Maxicare, Texas (“Maxicare”) was an HMO offering group health care plans to Texas employers. Appellant, Sanus/New York Life Health, Inc. (“Sanus”), purchased Maxicare November 1, 1988. Dube-Seybold-Sutherland Management, Inc. (“DSS Management” or “DSS”) is a professional dental corporation through which Doctors Kayron Dube, Susan Sey-bold, and Charles Sutherland practiced dentistry from 1985 through 1989. DSS Management and…