Vincent Norman Buttaci

Granting partial summary judgment on plaintiff’s claims that UnitedHealth Group’s use of “cross plan offsets” to recover alleged overpayments to the provider plaintiffs was not authorized by the health benefit plans at issue.

Granting final approval of class action settlement creating a $33 million dollar settlement fund to compensate chiropractors affected by Horizon’s improper bundling policies and payment (Co-Lead Counsel for the Certified Class).

Denying UnitedHealth Group’s motion to dismiss a class action lawsuit brought under ERISA challenging its use of “cross plan offsets” to recover alleged overpayments to providers) (Co-Counsel to Plaintiffs and the Putative Class).

Certifying two statewide classes of chiropractors under ERISA and under state law challenging Horizon’s policy of “bundling” reimbursement for evaluation and management services and adjunctive procedures into reimbursements for chiropractic manipulations.

Granting motion for reconsideration and vacating prior order compelling arbitration of a plaintiff healthcare provider’s claims under the terms of a participating provider agreement

Certifying a class of out of network healthcare providers pursuing claims under ERISA relative to retroactive adverse benefit determinations issued by Defendants.

Granting motion to certify a class of out of network healthcare providers pursuing claims under ERISA relative to retroactive adverse benefit determinations issued by Defendants.

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

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.

Upholding claims under ERISA asserted by a putative class of licensed healthcare providers and several chiropractic professional associations against United Healthcare and Health Net.

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.

Upholding claims under ERISA asserted by a putative class of licensed healthcare providers and several chiropractic professional associations against Aetna.

Upholding claims under ERISA asserted by a putative class of licensed healthcare providers and several chiropractic professional associations against the Blue Cross Blue Shield Association and 24 Blue Cross Blue Shield licensees.

Holding that the laws governing the scope of chiropractic in New Jersey permit chiropractic manipulation of articulations beyond those of the spine when there is a causal nexus between a condition of the manipulated structure and a condition of the spine.