English v. Blue Cross Blue Shield of Mich.

Respondent, Blue Cross Blue Shield of Michigan, appeals by leave granted the trial court’s order that affirmed the order of the Commissioner of the Office of Financial and Insurance Services. The commissioner’s order, entered pursuant to the Patient’s Right to Independent Review Act (PRIRA), MCL 550.1901 et seq., directed respondent to pay for certain laboratory services. We affirm in part, reverse in part, and remand for action consistent with this opinion.

I

Petitioner, John R. English, is a dentist receiving health care coverage through the Michigan Dental Association’s (MDA) insurance plan,…