insurance-claims

4 cases — ← All topics

Case Title Lower Court Docketed Status Flags Tags Question Presented
24-356 Sonya Munroe v. Aetna Medicare, et al. Second Circuit 2024-09-30 Denied administrative-remedies claim-exhaustion insurance-claims judicial-review medicare-jurisdiction medicare-procedures When should courts have jurisdiction over Medicare cases where claimants have not shown that they pursued or exhausted the administrative remedies req…
20-6784 Abdisalan Abulahab Hussein v. United States Eighth Circuit 2021-01-05 Denied Response WaivedIFP civil-rights due-process fraud insurance insurance-claims mail-fraud medical-necessity patient-referral scheme-to-defraud standing wire-fraud Whether a defendant can be convicted of mail and wire fraud where the purported victim insurance companies were not deprived of money or property beca…
20-73 IV Solutions, Inc. v. PacifiCare Life & Health Insurance Co. Ninth Circuit 2020-07-27 Denied Response Waived claim-reprocessing dialogue explanation-of-benefits health-care-provider health-insurance-company healthcare-provider insurance-claims legal-interpretation statute-of-limitations When does the statute of limitations begin running for a health care provider's claims against an insurance company?
19-5843 Gonzalo R. Rubang, Jr. v. Gallagher Bassett Services, Inc., et al. Ninth Circuit 2019-09-09 Denied IFP civil-procedure civil-rights court-dismissal court-trial due-process insurance-claims judicial-procedure medical-treatment pro-se-petition procedural-fairness standing unfair unfair-dismissal workers-compensation Why the US COURT OF APPEALS FOR THE NINTH CIRCUIT adopted the decision from the US DISTRICT COURT