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West Grey Properties, LLC v. Blue Cross and Blue Shield of Texas

Court: SD Tx  10/02/2024  Provider's Breach of Implied Contract and Quasi-Contract Claims Dismissed in Dispute Over Reimbursement of Statutory "Usual and Customary Rate"

A court for the Southern District of Texas granted an insurer's motion to dismiss two of the claims brought by a provider in a coverage dispute regarding reimbursement of out-of-network rates, holding that the provider did not sufficiently plead independent claims for breach of an implied contract and quasi-contract.

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