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CHATTANOOGA-HAMILTON HOSP. v. UNITEDHEALTHCARE

No. M2013-00942-SC-R11-CV

475 S.W.3d 746 (2015)

The CHATTANOOGA-HAMILTON COUNTY HOSPITAL AUTHORITY, d/b/a Erlanger Health System v. UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC., d/b/a AmeriChoice

Supreme Court of Tennessee, at Nashville.

Session February 4, 2015.

Attorney(s) appearing for the Case

J. Mark Tipps , John C. Hayworth , and Erin Palmer Polly , Nashville, Tennessee, for the appellant, UnitedHealthcare Plan of the River Valley, Inc., d/b/a AmeriChoice.

Herbert H. Slatery, III , Attorney General and Reporter; Andrée S. Blumenstein , Solicitor General; Linda A. Ross , Deputy Attorney General; Carolyn E. Reed , Assistant Attorney General; and Sue A. Sheldon , Senior Counsel, for the intervenor-appellant, Tennessee Attorney General.

Steven A. Riley and James N. Bowen , Nashville, Tennessee, for the appellee, The Chattanooga-Hamilton County Hospital Authority, d/b/a Erlanger Health System.

OPINION

We granted permission to appeal to address whether exhaustion of administrative remedies is required in this lawsuit brought by a hospital against a TennCare managed care organization...

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