Donovan v. Pennsylvania Blue Shield

MILLER, P.J.,

We are called upon to determine whether or not a participating Blue Shield physician may seek equitable relief, declaratory relief, or a review by the court as to the decision of a medical review committee which concluded that he was overpaid by Blue Shield for services rendered to Blue Shield patients from April 1, 1988 through June 30, 1990.

We find that the plaintiff may not seek equitable or declaratory relief but may seek a review by the court under a narrow standard of review.

BACKGROUND

The facts are not at all in dispute. Whether or not the plaintiff can do what he is…