Princeton, NJ
Litigation Lawyer at Princeton, NJ
Practice Areas: Litigation, Health Care ... +6 more
OUTCOME: Granting a motion to compel production of the full administrative record notwithstanding Horizon’s purported exhaustion defenses in an action challenging the denial of treatment for certain mental and substance abuse disorders.
Civil Action No. 16-2812 (JLL) (JAD), 2018 U.S. Dist. LEXIS 6096 (D.N.J. Jan. 12, 2018)
OUTCOME: Reversing an order of the District Court reinstating GEICO’s declaratory judgment claim and holding that New Jersey law requires that disputes regarding PIP claims be submitted to statutorily mandated arbitration.
No. 17-2113, 2018 U.S. App. LEXIS 617 (3d Cir. Jan. 10, 2018)
OUTCOME: Upholding claims under ERISA brought by a putative class of office-based surgical facilities challenging the systemic denial of facility fees.
2017 U.S. Dist. LEXIS 146867 (S.D.N.Y. Sep. 11, 2017)
OUTCOME: Granting summary judgment in favor of a putative class of healthcare providers challenging the legality of cross-plan offsets under ERISA.
242 F. Supp. 3d 834 (D. Minn. 2017)
OUTCOME: Upholding counterclaims brought by Defendant podiatrists against their former billing service for breach of contract and other claims rooted in negligent management of medical claims and appeals.
Civil Action No. 15-8976 (MAS) (DEA), 2016 U.S. Dist. LEXIS 149896 (D.N.J. Oct. 28, 2016)
OUTCOME: Granting motion for final approval of class action settlement creating a $33 million dollar fund to compensate chiropractors affected by Horizon’s improper bundling policies.
2016 U.S. Dist. LEXIS 143941 (D.N.J. Oct. 18, 2016)
OUTCOME: Denying a motion to dismiss a class action brought under ERISA challenging the use of “cross plan offsets” to recover alleged overpayments to providers
153 F. Supp. 3d 1032 (D. Minn. 2015)
OUTCOME: Certifying a class of chiropractic physicians who treated patients insured by Horizon and were denied payments for certain services.
No. 11-7298, 2015 U.S. Dist. LEXIS 70176 (D.N.J. June 1, 2015)
OUTCOME: 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.
No. 09-cv-3761, 2014 U.S. Dist. LEXIS 178585 (D.N.J. Dec. 31, 2014)
OUTCOME: Certifying a class of out of network healthcare providers pursuing claims under ERISA relative to retroactive adverse benefit determinations issued by Defendants.
No. 11-cv-425, 2014 U.S. Dist. LEXIS 172740 (D.N.J. Dec. 15, 2014)