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Keeping Pace with Industry Concerns: Litigating Out-of-Network Provider Claims


April 11, 2023 1:00 PM – 2:00 PM EST
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CLE Credit: Pending
HRCI Credit: Pending
SHRM Credit: Pending

Out-of-network provider ERISA litigation has exploded in the last few years, as out-of-network reimbursements have largely moved to a Medicare-based model. This webinar will focus on the most common claims out-of-network providers file and the core defenses insurers and self-funded plans typically raise.


  • Common adverse benefit determinations (administrative and medical)
  • Limitations on provider standing under ERISA
  • Other core defenses (articulating the benefit sought, exhaustion and contractual limitations)
  • Interplay with state and federal laws against “surprise bills” 

This program is intended for bona fide members of management. Jackson Lewis reserves the right to limit attendance or deny registration at its discretion.

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