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OSF HEALTHCARE SYSTEM v. ALDI INC. GROUP INSURANCE WELFARE BENEFIT PLAN

Case No. 12-1105.

OSF Healthcare System, Plaintiff v. Aldi Inc. Group Insurance Welfare Benefit Plan, Defendant,

United States District Court, C.D. Illinois.

October 2, 2012.

ORDER AND OPINION

JOHN A. GORMAN, Magistrate Judge.

I. INTRODUCTION

During June of 2010, Christopher Flowers was admitted to OSF through the emergency room following a high speed motor vehicle accident. The cost of the allegedly-reasonable medical treatment was $58,873.90. He was a participant in Aldi Inc Group Insurance Welfare Benefit Plan. The plan denied payment because the pre-admission review procedures were not followed and because the medical...

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