Medical Ass'n v. Blue Cross & Blue Shield of Georgia, Inc.

Johnson, Chief Judge.

Doctors Joe Stubbs, Neal Kahn, Janice Johnston and Anthony Costrini entered into contracts with health insurance provider Blue Cross & Blue Shield of Georgia, Inc. The doctors contracted to provide medical services to Blue Cross members in exchange for reimbursement by Blue Cross of the usual, customary and reasonable fees for the services. The contracts provide that Blue Cross has authority to determine usual, customary and reasonable fees and that when the doctors’ charges exceed the usual, customary and reasonable allowance, the doctors shall abide by Blue Cross’ rules…