Fifth Circuit Finds Blue Cross’ Denial of Cancer Therapy was Arbitrary, Orders Insurer to Pay
- May 05, 2023
Blue Cross must pay a patient’s medical bills for proton beam therapy, the Fifth Circuit held May 3. The insurer’s denial of the patient’s claim was arbitrary and capricious because it unreasonably relied on outdated guidelines in finding the treatment was not medically necessary, the appeals court said in its unpublished opinion.
ARTICLE TAGS
You must be logged in to access this content.