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Ears & Hearing, P.A. v. Blue Cross and Blue Shield of Texas

Court: WD Tx  08/05/2019  Magistrate Judge Issues Split Recommendation on Motion to Dismiss Service Provider's Lawsuit against Health Insurer

The magistrate judge found that sufficient allegations were made to support a breach of contract claim, but the claims of promissory estoppel, violations of the Texas Insurance Code and the Texas Administrative Code should be dismissed.

health insurance, motion to dismiss, preferred provider organization plans, PPO, preferred providers, non-preferred providers, reimbursement, Rule 12(b)(6), breach of contract, promissory estoppel, unfair and deceptive trade practices, prompt payment of claims, Texas Insurance Code, Chapter 542, Texas Administrative Code

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