Legal Opinion

United States Ex Rel. Sarasola v. Aetna Life Insurance

Court of Appeals for the Eleventh Circuit

Decided January 28, 2003No. 01-14291PublishedCited by 5 opinions

Non-Argument Calendar.

1Opinion of the Court

TJOFLAT, Circuit Judge:

In United States ex rel. Body v. Blue Cross & Blue Shield of Alabama, Inc., 156 F.3d 1098 (11th Cir.1998), we held that an insurance company occupying the role of “fiscal intermediary” in processing Medicare Part A claims is immune from liability, under 42 U.S.C. § 1395h(i)(3), in a qui tam suit brought under the False Claims Act, 31 U.S.C. § 3729(a), for knowingly approving false or fraudulent Part A claims for payment by the United States government. The interlocutory appeal in this qui tam action presents the question of whether such immunity bars a claim that the…

2Cases cited4 opinions

  1. Coopers & Lybrand v. LivesaySupreme Court of the United States · 1978
  2. United States Ex Rel. Clausen v. Laboratory Corp. of America, Inc.Court of Appeals for the Eleventh Circuit · 2002
  3. United States v. Blue Cross & Blue Shield of Alabama, Inc.Court of Appeals for the Eleventh Circuit · 1998
  4. River Garden Hebrew Home for Aged v. CalifanoDistrict Court, M.D. Florida · 1980

3Cited by5 opinions

  1. United States of America, Ex Rel. A+ Homecare, Inc. v. Medshares Management Group, Inc. Trevecca Home Health Services, Inc., Stephen H. WintersCourt of Appeals for the Sixth Circuit · 2005
  2. United States Ex Rel. Drescher v. Highmark, Inc.District Court, E.D. Pennsylvania · 2004
  3. Delta Health Group, Inc. v. United States Department of Health & Human ServicesDistrict Court, N.D. Florida · 2006
  4. United States Ex Rel. Feingold v. Palmetto Government Benefits AdministratorsDistrict Court, S.D. Florida · 2007
  5. United States v. Medshares Mgmt GrpCourt of Appeals for the Sixth Circuit · 2005

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