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NEMS, PLLC v. HARVARD PILGRIM HEALTH CARE

(SC 20914).

325 A.3d 196 (2024)

350 Conn. 525

NEMS, PLLC v. HARVARD PILGRIM HEALTH CARE OF CONNECTICUT, INC.

Supreme Court of Connecticut.

Officially Released August 21, 2024.

Attorney(s) appearing for the Case

Kristen L. Zaehringer, with whom were Simon I. Allentuch and Timothy C. Cowan, for the appellant (plaintiff).

John W. Cerreta, with whom were Elizabeth P. Retersdorf, Matthew J. Letten, and, on the brief, Jeffrey P. Mueller, for the appellee (defendant).

Scott T. Garosshen, Patrick W. Begos and Milanna Datlow filed a brief for the Connecticut Association of Health Plans as amicus curiae.

McDonald, D'Auria, Mullins, Ecker, Alexander, Dannehy and Bright, Js.

The present case, which reaches us in the form of three certified questions from the United States District Court for the District of Connecticut, arises from an ongoing billing dispute between a group of emergency room physicians and an insurance company (insurer or carrier). The dispute revolves...

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