NJSR Surgical Center, L.L.C. v. Horizon Blue Cross Blue Shield of New Jersey, Inc.

OPINION

KEVIN McNULTY, District Judge.

Plaintiffs are health care providers; Defendants are health care insurers or administrators of health insurance claims. Plaintiffs allegedly rendered medical care to persons who were insured under Defendants’ plans. The Third Amended Complaint (referred to herein as the “Complaint”) alleges that Defendants wrongfully denied, underpaid, or simply disregarded the patients’ claims for reimbursement. Plaintiffs sue as alleged assignees of their patients’ right to pursue payment under the health insurance plans.

Some of the health plans at issue are self-insured…