Princeton, NJ
Health care Lawyer at Princeton, NJ
Practice Areas: Health Care, Insurance Fraud ... +3 more
OUTCOME: 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.
No. 14-cv-2101, 2017 U.S. Dist. LEXIS 3670 (D. Minn. 2017)
OUTCOME: 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).
No. 2:11-cv-07298 (WJM), 2016 U.S. Dist. LEXIS 143941
OUTCOME: 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).
153 F. Supp. 3d 1032 (D. Minn. 2015)
OUTCOME: 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.
No. 2:11-CV-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.)
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.)
OUTCOME: 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.
No. 11-cv-425 (ES)(JAD), 2014 U.S. Dist. LEXIS 120589 (D.N.J., August 28, 2014)
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
No. 12-2308 (3d Cir.)
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.
No. 2:11-CV-7298 2013 U.S. Dist. LEXIS 107422 (D.N.J. )
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.
No. 11-CV-425 (ES)(CLW), 2012 U.S. Dist. LEXIS 44871 (D.N.J.)