N. Cypress Med. Ctr. Operating Co. v. Aetna Life Ins. Co.
Court of Appeals for the Fifth Circuit
1Opinion of the Court
DON R. WILLETT, Circuit Judge:
*468 Under Aetna's insurance plans, patients are responsible for a portion of their bills. That is not to say insurance companies are off the hook: They cover the remainder. But how much is Aetna obligated to pay for medical services provided to its members by an out-of-network hospital?
Houston medical services provider North Cypress Medical Center Operating Co., Ltd. and North Cypress Medical Center Operating Co. GP, LLC (collectively "NCMC") alleged Aetna underpaid out-of-network providers like NCMC in violation of the Employee Retirement Income Security Act of…
2Cases cited55 opinions
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- Ernst & Young, L.L.P. v. Pacific Mutual Life Insurance Co.Texas Supreme Court · 2001
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