THOMAS MEDICAL GROUP, APMC v. STINE, LLC

No. 10-577.

53 So.3d 522 (2010)

THOMAS MEDICAL GROUP, APMC (Derek McDavid) v. STINE, LLC, et al.

Court of Appeal of Louisiana, Third Circuit.

December 8, 2010.


Attorney(s) appearing for the Case

Roger Anthony Javier , The Javier Law Firm, New Orleans, LA, for Defendants/Appellants, Zurich American Ins. Co., Stine, LLC.

Richard Bray Williams , Williams Family Law Firm, LLC, Natchitoches, LA, for Plaintiff/Appellee, Thomas Medical Group, APMC (Derek McDavid).

Court composed of JOHN D. SAUNDERS, J. DAVID PAINTER, and SHANNON J. GREMILLION, Judges.


SAUNDERS, Judge.

This appeal involves a dispute between a health care provider and an employer, its insurer, and a third party administrator. The insurer's third party administrator and the health care provider were both parties to preferred provider agreements (PPO) with First Health Group Corp (First Health). Despite the existence of this PPO agreement, the health care provider, plaintiff/appellee Thomas Medical Group, APMC (Thomas), which agreed to accept 90% of...

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