Legal Opinion

Rudolph v. Pennsylvania Blue Shield

Supreme Court of Pennsylvania

Decided August 21, 1998No. 24 W.D. Appeal Docket 1997PublishedCited by 21 opinions

1Opinion of the Court

OPINION ANNOUNCING JUDGMENT OF THE COURT

FLAHERTY, Chief Justice.

When a doctor affiliated with Pennsylvania Blue Shield has been denied payment for services by a medical review committee appointed by Blue Shield, what review of the decision is permitted under the contract between the doctor and Blue Shield within the limitations set by the Pennsylvania Health Services Plan Corporations Act?

Between June 1986 and November 1987, Rudolph, a participating Blue Shield physician, and Family Professional Center, P.C., his professional corporation (hereinafter “the doctor”) provided certain medical…

2Cases cited1 opinion

  1. Commonwealth v. CroninSupreme Court of Pennsylvania · 1939

3Cited by21 opinions

  1. Salley v. Option One Mortgage Corp.Supreme Court of Pennsylvania · 2007
  2. Lytle v. CitiFinancial Services, Inc.Superior Court of Pennsylvania · 2002
  3. Todd Heller, Inc. v. United Parcel Service, Inc.Superior Court of Pennsylvania · 2000
  4. Arippa v. Pennsylvania Public Utility CommissionCommonwealth Court of Pennsylvania · 2002
  5. Ostroff v. Alterra Healthcare Corp.District Court, E.D. Pennsylvania · 2006

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