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DB HEALTHCARE v. BLUE CROSS BLUE SHIELD

No. 14-16518, No. 14-16612.

852 F.3d 868 (2017)

DB HEALTHCARE, LLC, DBA Metro Center Health Care; AVD Healthcare, LLC, DBA Mountain Vista Health Center; MH Healthcare, LLC, DBA North Health Center; SV Healthcare, LLC, DBA White Rock Health Center; Quinn Chiropractic, LLC, DBA White Rock Health Center; CK Healthcare, LLC, DBA Avondale Health Center; TM Healthcare, LLC, DBA Avondale Health Center; KM Healthcare, LLC, DBA Avondale Health Center; KD Chiropractic, LLC, DBA White Rock Health Center; EW Healthcare, LLC, DBA Greenway Health Center; PW Healthcare, LLC, DBA Greenway Health Center; Mary Melissa Hands; Victoria Tweedy; Robert Alexander; Simran Sethi; Sarah Quinn; Teresa Meloche; Allison Woodworth; Joe Melby; Crysty Frick; Patricia Paradis, Plaintiffs-Appellants, v. BLUE CROSS BLUE SHIELD OF ARIZONA, INC., Defendant-Appellee. Advanced Women's Health Center, Inc., Plaintiff-Appellant v. Anthem Blue Cross Life and Health Insurance Company, Defendant-Appellee.

United States Court of Appeals, Ninth Circuit.

Filed March 22, 2017.

Attorney(s) appearing for the Case

Richard J. Quadrino (argued), Harold J. Levy , and Eugene R. Pagano , Quadrino Law Group P.C., Melville, New York; Tod F. Schleier and Bradley H. Schleier , Schleier Law Offices, Phoenix, Arizona; for Plaintiffs-Appellants.

Anthony F. Shelley (argued), Michael N. Khalil , and Adam P. Feinberg , Miller & Chevalier Chartered, Washington, D.C., for Defendant-Appellee Blue Cross Blue Shield of Arizona, Inc.

Eileen R. Ridley (argued), Alan R. Ouellette , and Michael A. Naranjo , Foley & Lardner LLP, San Francisco, California, for Defendant-Appellee Anthem Blue Cross Life and Health Insurance Company.

Before: Marsha S. Berzon, and N. Randy Smith, Circuit Judges, and Dana L. Christensen, Chief District Judge.

OPINION

These two cases involve reimbursement disputes between health care providers and employee health benefit plan administrators. We decide the cases together because they raise a common central issue: whether a health care provider designated to receive direct payment from a health plan administrator for medical...

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