Robert F. Colwell, Jr. v. Iowa Department of Human Services
Supreme Court of Iowa
1Opinion of the Court
WIGGINS, Justice.
A managed care organization (MCO) denied reimbursement of claims submitted by a dentist who contracts with the MCO as a provider. The dentist sought review by the Iowa Department of Human Services (DHS) of the MCO's denials of reimbursement. DHS denied the dentist's requests for a state fair hearing, reasoning that the issue was a contract dispute between the MCO and the dentist and thus was not appealable to DHS under Iowa law. The dentist filed a petition for judicial review, challenging DHS's denials of his requests for state fair hearings. The district court agreed with…
2Cases cited20 opinions
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