Legal Opinion

Am. Orthopedic & Sports Med. v. Independence Blue Cross Blue Shield

Court of Appeals for the Third Circuit

Decided May 16, 2018No. 17-1663PublishedCited by 108 opinions

1Opinion of the Court

KRAUSE, Circuit Judge.

With the evolution of managed healthcare and the advent of provider networks and other cost-control mechanisms, many insurers in recent years have incorporated into their health insurance plans clauses that purport to bar insureds from assigning their claims to any third party-even the healthcare provider that rendered the service. This appeal presents the question whether such "anti-assignment clauses" are enforceable, or whether, as argued by the healthcare provider in this case whose claim was dismissed for lack of standing, they are antithetical to the Employee…

2Cases cited39 opinions

  1. Pilot Life Insurance v. DedeauxSupreme Court of the United States · 1987
  2. Varity Corp. v. HoweSupreme Court of the United States · 1996
  3. Aetna Health Inc. v. DavilaSupreme Court of the United States · 2004
  4. New York State Conference of Blue Cross & Blue Shield Plans v. Travelers InsuranceSupreme Court of the United States · 1995
  5. Kelly v. RobinsonSupreme Court of the United States · 1986

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3Cited by108 opinions

  1. Plastic Surgery Center, P.A. v. Aetna Life Insurance CoCourt of Appeals for the Third Circuit · 2020
  2. Aesthetic & Reconst. Breast v. United HealthcareDistrict Court, D. Connecticut · 2019
  3. RD Legal Fin., LLC v. White (In Re Nat'l Football League Players' Concussion Injury Litig. RD Legal Funding, LLC)Court of Appeals for the Third Circuit · 2019
  4. Bobby P. Kearney, MD, PLLC v. Blue Cross & Blue Shield NorthcarolinaDistrict Court, M.D. North Carolina · 2019
  5. Li Neuroscience v. Blue Cross Blue Shield Of Fla.District Court, E.D. New York · 2019

103 more not listed; retrieve them via the Exa API.

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