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RIVER PARK HOSP. v. BLUECROSS BLUESHIELD TN

173 S.W.3d 43 (2002)

RIVER PARK HOSPITAL, INC., v. BLUECROSS BLUESHIELD OF TENNESSEE, INC., and Volunteer State Health Plan, Inc., d/b/a BlueCare.

Court of Appeals of Tennessee, Western Section, at Nashville.

October 11, 2002.

Permission to Appeal Denied February 18, 2003.

Attorney(s) appearing for the Case

Gary C. Shockley and Brigid M. Carpenter, Nashville, Tennessee, for the appellants, BlueCross BlueShield of Tennessee, Inc., and Volunteer State Health Plan, Inc., d/b/a/ BlueCare.

Steven A. Riley and Taylor A. Cates, Nashville, Tennessee, for the appellee, River Park Hospital, Inc.

William E. Young and William B. Hubbard, Nashville, Tennessee, for amicus curie, Tennessee Hospital Association.

Andrew Yarnell Beatty, Nashville, Tennessee, for amicus curie, Tennessee Medical Association.

Permission to Appeal Denied by Supreme Court February 18, 2003.

OPINION

HOLLY KIRBY LILLARD, J., delivered the opinion of the court, in which W. FRANK CRAWFORD, P.J., W.S., and ALAN E. HIGHERS, J., joined.

This case involves a dispute over rates paid to a TennCare health care provider. The plaintiff hospital had been a participating provider for the defendant TennCare managed care organization ("MCO") for several years, being paid an agreed contractual...

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