DENTAL BENEFIT PROVIDERS, INC. v. EISEMAN

No. 945 C.D. 2013, No. 957 C.D. 2013, No. 958 C.D. 2013

86 A.3d 932 (2014)

DENTAL BENEFIT PROVIDERS, INC. and UnitedHealthcare of Pennsylvania, Inc. d/b/a UnitedHealthcare Community Plan and HealthAmerica Pennsylvania, Inc., d/b/a Coventry-Cares, Petitioners v. James EISEMAN, Jr. and The Public Interest Law Center of Philadelphia, Respondents. Aetna Better Health Inc., Health Partners of Philadelphia, Inc., Keystone Mercy Health Plan, and DentaQuest, LLC, Petitioners v. James Eiseman, Jr., and The Public Interest Law Center of Philadelphia, Respondents. Department of Public Welfare, Petitioner v. James Eiseman, Jr., and The Public Interest Law Center of Philadelphia, Respondents.

Commonwealth Court of Pennsylvania.

Decided February 19, 2014.


Attorney(s) appearing for the Case

Karl S. Myers , Philadelphia, for petitioners Health America Pennsylvania, Inc., UnitedHealthcare Community Plan, CoventryCares, Dental Benefit Providers, Inc. and UnitedHealthcare of Pennsylvania, Inc.

James Eiseman, Jr. and Benjamin D. Geffen , Philadelphia, for respondents James Eiseman, Jr. and The Public Interest Law Center of Philadelphia.

Christopher H. Casey Philadelphia, for intervenors Health Partners of Philadelphia, Inc., Keystone Mercy Health Plan, Aetna Better Health Inc and DentaQuest, LLC.

BEFORE: DAN PELLEGRINI, President Judge, and BERNARD L. McGINLEY, Judge, and ROBERT SIMPSON, Judge, and MARY HANNAH LEAVITT, Judge, and P. KEVIN BROBSON, Judge, and PATRICIA A. McCULLOUGH, Judge, and ANNE E. COVEY, Judge.


OPINION BY Judge SIMPSON.

These consolidated Right-to-Know Law (RTKL)1 petitions for review implicate multiple issues regarding third-party records. The Office of Open Records (OOR) ordered disclosure of the rates managed care organizations (MCOs) paid to subcontractors, and the rates subcontractors paid to providers of dental services under the Department of Public Welfare's (DPW) administration of the Medicaid program in Southeast Pennsylvania...

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