Princeton, NJ
Health care Lawyer at Princeton, NJ
Practice Areas: Health Care, Criminal Defense ... +2 more
OUTCOME: Granting conditional class certification to healthcare providers alleging that UnitedHealth Group, Inc., improperly demanded reimbursement for previously paid claims in contravention of the Employee Retirement Income Security Act of 1974 (ERISA).
2014 U.S. Dist. LEXIS 120589 (Aug. 28, 2014) (Docket 2:11-cv-00425-ES-JAD)
OUTCOME: Finding in favor of PCA on its claims and concluding that PCA is entitled to a permanent injunction as a result of IBC's violations of the Employment Retirement Income Security Act of 1974.
Case No. 09-cv-5619, 2012 U.S. Dist. LEXIS 147026 (N.D. Ill. March 28, 2014)
OUTCOME: Striking exhibits submitted in support of a motion for summary judgment for failure to previously produce documents during the course of discovery.
Case No. 1:10-cv-03197, 2014 U.S. Dist. LEXIS 44434 (D.N.J. Mar. 27, 2014)
OUTCOME: Granting partial summary judgment to provider plaintiffs and holding that retroactive recoupments resulted in arbitrary and capricious adverse benefit determinations under ERISA.
Case No. 09-cv-5619, 2012 U.S. Dist. LEXIS 147026 (N.D. Ill. November 7, 2013)
OUTCOME: Reversing the District Court’s dismissal of claims brought by a Durable Medical Equipment provider under ERISA challenging post payment audit and recoupment practices on behalf of a putative class of licensed healthcare providers.
Case No. 12-2308 (3d Cir. August 16, 2013)
OUTCOME: Upholding claims brought by a statewide putative class of chiropractic physicians under ERISA and under state law challenging Horizon’s policy of “bundling” reimbursement for adjunctive procedures into reimbursements for chiropractic manipulation.
Case No. 2:11-cv-7298 2013 U.S. Dist. LEXIS 107422 (D.N.J. July 31, 2013)
OUTCOME: The Court denied Defendant Insurers' motion for summary judgment and helding that retroactive recoupments from providers based upon coverage determinations can amount to adverse benefit determinations under ERISA, thus giving rise to claims thereunder.
Case No. 09-cv-5619, 2012 U.S. Dist. LEXIS 147026 (N.D. Ill. October 12, 2012)
OUTCOME: Upholding claims under ERISA asserted by a putative class of licensed healthcare providers and several chiropractic professional associations against United Healthcare and Health Net
Case No. 11-cv-425 (ES)(CLW), 2012 U.S. Dist. LEXIS 44871 (D.N.J., Mar. 30, 2012)
OUTCOME: Partial Dismissal of state law claims asserted in Counterclaim/Third-Party Complaint based upon ERISA Preemption
Case No. 1:10-cv-03194-RJS (S.D.N.Y) (March 16, 2012)
OUTCOME: Upholding concurrent claims under Sections 502(a)(1)(B) and 503 of ERISA as adequately pled in an action challenging the manner in which Defendant calculates benefits payable to insureds with primary coverage through Medicare.
Case No. 11-cv-1185, 2011 U.S. Dist. LEXIS 135202 (D.N.J. Nov. 22, 2011)