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NJSR SURGICAL v. HORIZON BLUE CROSS BLUE SHIELD

Civ. No. 12-753 (KM).

979 F.Supp.2d 513 (2013)

NJSR SURGICAL CENTER, L.L.C., New Jersey Spine & Rehabilitation, P.C., and Pompton Anesthesia Associates, P.C., Plaintiffs, v. HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY, INC.; New Jersey Transit Corporation; Anthem Health Plans, Inc.; County of Passaic; CareFirst of Maryland, Inc.; HealthNow New York, Inc.; City of Jersey City; Orange-Ulster School Districts Health Plan; Non-New Jersey BCBS Home Plans 1-10, and ABC Self-Funded Plans 1-10, Defendants.

United States District Court, D. New Jersey.

October 24, 2013.

Attorney(s) appearing for the Case

David Michael Estes , Eric D. Katz , Mazie, Slater , Katz & Freeman, LLC, Roseland, NJ, for Plaintiffs.

Evan Neadel , Becker Meisel LLC, Livingston, NJ, Kenneth Michael Worton , Attorney General of New Jersey, Newark, NJ, Mark Sigmund Lichtenstein , Crowell & Moring LLP, New York, NY, John P. Quirke , Archer & Greiner, PC, Flemington, NJ, Brett Justin Lean , Burns White LLC, Cherry Hill, NJ, Zahire Desiree Estrella , City of Jersey City Law Department, Jersey City, NJ, Daniel Steven Strick , Lucas & Cavalier LLC, Philadelphia, PA, Robert M. Cavalier , Lucas & Cavalier, Esqs., Haddon Heights, NJ, for Defendants.

OPINION

KEVIN McNULTY, District Judge.

Plaintiffs are health care providers; Defendants are health care insurers or administrators of health insurance claims. Plaintiffs allegedly rendered medical care to persons who were insured under Defendants' plans. The Third Amended Complaint (referred to herein as the "Complaint") alleges that Defendants wrongfully denied, underpaid, or simply disregarded the patients' claims for reimbursement. Plaintiffs sue as alleged...

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