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Group health plans and health insurance issuers (other than grandfathered health plans, which are discussed here) must begin complying with new internal claims and appeals and external review procedures for plan years commencing on or after September 23, 2010
In Borrero v. United HealthCare of New York, Inc., 2010 WL 2652456 (11th Cir. July 6, 2010), healthcare providers (and their representative organizations) alleged state law claims against United HealthCare for failing to pay them the agreed upon rate contained in the subscriber agreements rate for services
