Legal Opinion
Spinedex Physical Therapy USA Inc. v. United Healthcare of Arizona, Inc.
Court of Appeals for the Ninth Circuit
Decided November 5, 2014No. 12-17604PublishedCited by 112 opinions
1Opinion of the Court
OPINION
W. FLETCHER, Circuit Judge:
Defendant United Healthcare (“United”) is the claims administrator for as many as forty-four defendant health plans (the “Plans”; collectively with United, “Defendants”). For most but not all of the Plans, United insures plan benefits. All of the Plans are governed by the Employee Retirement Income Security Act of 1974 (“ERISA”).
As assignee and would-be assignee of Plan beneficiaries, health care provider Spinedex filed suit against United and the Plans seeking payment of denied benefit claims. The Arizona Chiropractic Society (“ACS”), as well as individual…
2Cases cited33 opinions
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- Hunt v. Washington State Apple Advertising CommissionSupreme Court of the United States · 1977
- Auer v. RobbinsSupreme Court of the United States · 1997
- Massachusetts Mutual Life Insurance v. RussellSupreme Court of the United States · 1985
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3Cited by112 opinions
- American Psychiatric Ass'n v. Anthem Health Plans, Inc.Court of Appeals for the Second Circuit · 2016
- North Cypress Medical Center Operating Co. v. Cigna HealthcareCourt of Appeals for the Fifth Circuit · 2015
- Almont Ambulatory Surgery Center, LLC v. UnitedHealth Group, Inc.District Court, C.D. California · 2015
- Grasso Enterprises, LLC v. Express Scripts, Inc.Court of Appeals for the Eighth Circuit · 2016
- DB Healthcare, LLC v. Blue Cross Blue Shield of Arizona, Inc.Court of Appeals for the Ninth Circuit · 2017
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