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HEALTH CARE SERVICE CORP. v. METHODIST HOSPITALS

No. 15-10154.

814 F.3d 242 (2016)

HEALTH CARE SERVICE CORPORATION, an Illinois Mutual Legal Reserve Company, Plaintiff-Appellee v. METHODIST HOSPITALS OF DALLAS, a Texas Corporation doing business as Methodist Health System, Defendant-Appellant.

United States Court of Appeals, Fifth Circuit.

Filed February 10, 2016.

Attorney(s) appearing for the Case

Martin J. Bishop , Thomas Charles Hardy , Meredith Shippee , Reed Smith, L.L.P., Jonathan William Garlough , Foley & Lardner, L.L.P., Chicago, IL, Eileen Regina Ridley , Foley & Lardner, L.L.P., San Francisco, CA, William D. Cobb, Jr., Esq. , Cobb Martinez Woodward, P.L.L.C., Dallas, TX, Paige Hennessey Forster, Esq. , Reed Smith, L.L.P., Pittsburgh, PA, for Plaintiff-Appellee.

Mikal Watts, Esq. , Michael James Murray , Watts Guerra, L.L.P., San Antonio, TX, Micah Ethan Skidmore , Haynes & Boone, L.L.P., Dallas, TX, for Defendant-Appellant.

Before SMITH, WIENER, and GRAVES, Circuit Judges.

A Texas statute—Chapter 1301 of the Texas Insurance Code1—requires healthcare insurers to make coverage determinations and pay claims made by preferred healthcare providers within a specified time or face penalties. Plaintiff-Appellee Health...

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