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.

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preferred provider organization plansbreach of contractPPOmotion to dismisspreferred providersprompt payment of claimsnon-preferred providershealth insuranceunfair and deceptive trade practicespromissory estoppelreimbursementRule 12(b)(6)Texas Insurance CodeChapter 542Texas Administrative Code

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