Supreme Court of the United States · Official docket →
IV Solutions, Inc. v. PacifiCare Life & Health Insurance Co.
Paid petition · United States Court of Appeals for the Ninth Circuit, No. 17-56609 · judgment February 21, 2020
Before the decision, well below the 4.1% base rate, with no standout signals pointing toward a grant.
Question presented
When a health care insurance company issues an Explanation of Benefits (“EOB”) expressly inviting a health care provider to “notify it of additional information clarifying the services and/or charges,” and thereafter engages in an extended dialogue with the health care provider regarding the reprocessing of the provider’s claims in light of such additional information, does the statute of limitations begin running as a matter of law immediately upon the issuance of that Explanation of Benefits, even though the insurance company, through its representatives, thereafter communicated to the provider on numerous occasions that the provider’s claims were still being reviewed and reprocessed?
Counsel of record
For petitioner
Marc E. Rohatiner
Wolf, Rifkin, Shapiro, Schulman & Rabkin, LLP
For respondent
Emily Tomoko Barner Kuwahara
Crowell & Moring LLP
Case
Conference history
Distributed for 1 conference
Proceedings
- Oct 05 2020Petition DENIED.
- Aug 19 2020DISTRIBUTED for Conference of 9/29/2020.
- Aug 11 2020Waiver of right of respondent Pacificare Life & Health Insurance Company to respond filed.
- Jul 17 2020Petition for a writ of certiorari filed. (Response due August 26, 2020)