Legal Opinion
Hca Health Services of Georgia, Inc. v. Employers Health Insurance Company
Court of Appeals for the Eleventh Circuit
Decided February 14, 2001No. 99-11241PublishedCited by 163 opinions
1Opinion of the Court
TJOFLAT, Circuit Judge:
This is an ERISA 1 case involving the denial of benefits allegedly due a patient under the terms of a group health insurance policy issued and administered by an insurance company. The patient underwent covered outpatient surgery at a medical center. At the time of surgery, the patient assigned to the medical center his right to recover 80% of the costs of the surgery from the insurance company. 2 Accordingly, the medical center billed the insurance company for the costs of the surgery. Although the amount of the bill was consonant with the usual and customary fee…
2Cases cited16 opinions
- Firestone Tire & Rubber Co. v. BruchSupreme Court of the United States · 1989
- Pegram v. HerdrichSupreme Court of the United States · 2000
- Fred Brown v. Blue Cross and Blue Shield of Alabama, Inc.Court of Appeals for the Eleventh Circuit · 1990
- Tonya J. WIDEMAN, Plaintiff-Appellant, v. WAL-MART STORES, INC., Defendant-AppelleeCourt of Appeals for the Eleventh Circuit · 1998
- Olan Jett v. Blue Cross and Blue Shield of Alabama, Inc., Medical Expense PlanCourt of Appeals for the Eleventh Circuit · 1989
11 more not listed; retrieve them via the Exa API.
3Cited by163 opinions
- Abatie v. Alta Health & Life Ins. Co.Court of Appeals for the Ninth Circuit · 2006
- Delores M. Brooks v. County Commission, JeffersonCourt of Appeals for the Eleventh Circuit · 2006
- Connecticut State Dental Ass'n v. Anthem Health Plans, Inc.Court of Appeals for the Eleventh Circuit · 2009
- Marcia Williams v. BellSouth TelecommunicationsCourt of Appeals for the Eleventh Circuit · 2004
- Spinedex Physical Therapy USA Inc. v. United Healthcare of Arizona, Inc.Court of Appeals for the Ninth Circuit · 2014
158 more not listed; retrieve them via the Exa API.