Mealey's Insurance - Florida Federal Judge Allows Discovery Into Reviewer's Conflict Of Interest

Mealey's Insurance - Florida Federal Judge Allows Discovery Into Reviewer's Conflict Of Interest

MIAMI - A Florida federal judge on April 25 held that an external appeal upholding a plaintiff's denial of medical benefits is conclusive to the issue of medical necessity but said she would allow the plaintiff to conduct discovery as to whether the external reviewer had any conflict of interest that may have biased the decision (Alexandra H. v. Oxford Health Insurance Inc., et al., No. 11-23948, S.D. Fla.; 2014 U.S. Dist. LEXIS 57863).

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