Legal Opinion

United States Ex Rel. Doe v. Pennsylvania Blue Shield

District Court, M.D. Pennsylvania

Decided June 16, 1999No. 4:CV-96-0611PublishedCited by 15 opinions

1Opinion of the Court

MEMORANDUM

McCLURE, District Judge.

BACKGROUND:

These related actions were brought by relators Brentley and Linda Hicks under the qui tam provisions of the False Claims Act, 31 U.S.C. §§ 3729-3733, specifically § 3730. Relators filed the first complaint, docketed to No. 4:CV-96-0611, on April 5, 1996. That complaint alleged that defendant Pennsylvania Blue Shield, d/b/a Xact Medicare Services, now known as High-mark Inc., used “force codes” to by-pass computer audits for claims submitted by Medicare Part B providers. An amended complaint was filed on June 12,1996.

Relators filed a second…

2Cases cited13 opinions

  1. Hensley v. EckerhartSupreme Court of the United States · 1983
  2. Blum v. StensonSupreme Court of the United States · 1984
  3. Student Public Interest Research Group of New Jersey, Inc. And Friends of the Earth, in 86-5927 v. At & T Bell Laboratories, in 86-5895Court of Appeals for the Third Circuit · 1988
  4. Prandini v. National Tea Co.Court of Appeals for the Third Circuit · 1978
  5. Bell v. United Princeton Properties, Inc.Court of Appeals for the Third Circuit · 1989

8 more not listed; retrieve them via the Exa API.

3Cited by15 opinions

  1. In Re Safety Components, Inc. Securities LitigationDistrict Court, D. New Jersey · 2001
  2. In Re Rent-Way Securities LitigationDistrict Court, W.D. Pennsylvania · 2003
  3. Walton v. MassanariDistrict Court, E.D. Pennsylvania · 2001
  4. Miller v. HolzmannCourt of Appeals for the D.C. Circuit · 2008
  5. Stair v. Turtzo, Spry, Sbrocchi, Faul & LabarreSupreme Court of Pennsylvania · 2001

10 more not listed; retrieve them via the Exa API.

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