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North Cypress Medical Center Operating Co., Ltd. v. Cigna Healthcare

Court: 5th Cir  03/19/2020  Fifth Circuit Affirms District Court Ruling in Healthcare Insurance Claims Dispute

The court found that insurer did not abuse its discretion in interpreting its policy, and the district court properly applied the law to defeat the healthcare facility's claims for underpayment of claims.

medical insurance policy, health care insurance, ERISA, out-of-network, in-network, discounted rates, administrative remedies, policy interpretation, abuse of discretion, legal correctness, conflict of interest, bad faith, procedural challenge, substantiating evidence, attorneys' fees

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