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Navigating Out-of-Network Claims: Key Takeaways for Providers From Surgery Center Case in New York Federal Court

The US District Court for the Eastern District of New York in Manalapan Surgery Ctr., et al. v. 1199 SEIU National Benefit Fund, No. 23-CV-03525 (EDNY March 12, 2025), recently granted a motion to dismiss a complaint filed by...more

California Claps Back on Insurer Use of AI to Deny Needed Medical Care Decisions

California is leading the way in ensuring that determinations of medically necessary health care services are made by licensed physicians and not artificial intelligence (AI) algorithms....more

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