New England Physical Therapy Network, P.C. v. Healthcare Value Management, Inc.

In its amended complaint, plaintiff New England Physical Therapy Network, P.C. claims defendants systematically discounted Personal Injury Protection (“PIP”) medical expense claims based on operation of a so-called “Silent PPO.”2 Plaintiff alleges that defendants misappropriated more than $204,000 in preferred provider organization discounts and applied those discounts to Massachusetts automobile insurance PIP claims, and, as a result, insurers have paid claims at a reduced rate.

The amended complaint contains eight counts. Count I alleges breach of contract against Healthcare Value…