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LINN v. BCBSM, INC.

No. A16-0986.

905 N.W.2d 497 (2018)

James LINN, et al., Respondents, v. BCBSM, INC., Appellant.

Supreme Court of Minnesota.

Filed: January 3, 2018.

Attorney(s) appearing for the Case

Brandon Schwartz , Michael Schwartz , Schwartz Law Firm, Oakdale, Minnesota, for respondents.

Joel A. Mintzer , Doreen A. Mohs , Michelle Block, BCBSM, Inc., Eagan, Minnesota; and Mahesha P. Subbaraman , Subbaraman PLLC, Minneapolis, Minnesota, for appellant.

Janet C. Evans , Richard C. Landon , Gray, Plant, Mooty, Mooty & Bennett, P.A., Minneapolis, Minnesota, for amicus curiae Minnesota Council of Health Plans.

Took no part, Lillehaug, Chutich, JJ.

OPINION

In this appeal, we must address the effect of external-review decisions under Minn. Stat. § 62Q.73, subd. 7(c) (2016). Appellant BCBSM, Inc. ("Blue Cross") denied respondent James Linn's insurance claim because the requested treatment was not considered medically necessary under the parties' health-plan contract...

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