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VENCOR HOSPITALS v. BLUE CROSS BLUE SHIELD

No. 96-5105.

169 F.3d 677 (1999)

VENCOR HOSPITALS d.b.a. Vencor Hospital, Plaintiff-Appellant-Cross-Appellee, v. BLUE CROSS BLUE SHIELD OF RHODE ISLAND, Defendant-Appellee-Cross-Appellant.

United States Court of Appeals, Eleventh Circuit.

March 8, 1999.

Attorney(s) appearing for the Case

Richard Benjamin Wilkes, Richard W. Candelora, Anthony Leon, Tampa, FL, Bradley L. Kelly, Laura J. Oberbroeckling, Proskauer, Rose, Goetz & Mendelsohn LLP, Washington, DC, for Plaintiff-Appellant-Cross-Appellee.

John E. Bulman, Little, Bulman & Reardon, P.C., Providence, RI, for Defendant-Appellee-Cross-Appellant.

Before TJOFLAT and BIRCH, Circuit Judges, and RONEY, Senior Circuit Judge.

TJOFLAT, Circuit Judge:

This case hinges on the interpretation of certain terms in an insurance contract. Because we are uncertain exactly which documents comprise the contract, we remand the case for further proceedings in the district court.

I.

Medicare Part A, part of the federally-provided health care insurance program for older adults, pays for up to ninety days per benefit period1 of medically necessary inpatient...

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