Legal Opinion

DB Healthcare, LLC v. Blue Cross Blue Shield of Arizona, Inc.

Court of Appeals for the Ninth Circuit

Decided March 22, 2017No. 14-16518, 14-16612PublishedCited by 60 opinions

1Opinion of the Court

OPINION

BERZON, Circuit Judge:

These two cases involve reimbursement disputes between health care providers and employee health benefit plan administrators. We decide the cases together because they raise a common central issue: whether a health care provider designated to receive direct payment from a health plan administrator for medical services is authorized to bring suit in federal court under the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1001 et seq. We consider two separate potential bases for such authority under ERISA’s civil enforcement provisions: direct…

2Cases cited19 opinions

  1. Franchise Tax Bd. of Cal. v. Construction Laborers Vacation Trust for Southern Cal.Supreme Court of the United States · 1983
  2. Aetna Health Inc. v. DavilaSupreme Court of the United States · 2004
  3. Harris Trust & Savings Bank v. Salomon Smith Barney Inc.Supreme Court of the United States · 2000
  4. Harris v. Amgen, Inc.Court of Appeals for the Ninth Circuit · 2009
  5. Petar Misic v. The Building Service Employees Health and Welfare TrustCourt of Appeals for the Ninth Circuit · 1986

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3Cited by60 opinions

  1. Plastic Surgery Center, P.A. v. Aetna Life Insurance CoCourt of Appeals for the Third Circuit · 2020
  2. Beverly Oaks Psc, LLC v. Blue Cross & Blue Shield of IlCourt of Appeals for the Ninth Circuit · 2020
  3. South Coast Specialty Surgery Center, Inc. v. Blue Cross of CaliforniaCourt of Appeals for the Ninth Circuit · 2024
  4. Asante v. Cal. Dep't of Health Care Servs.Court of Appeals for the Ninth Circuit · 2018
  5. Davita Inc. v. Amy's Kitchen, Inc.Court of Appeals for the Ninth Circuit · 2020

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

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