Samuel H. Pond, managing partner with of Pond Lehocky Giordano LLP. Courtesy photo Divided Pa. High Court Allows Medical Providers' Civil Lawsuits for Unpaid Workers' Comp Benefits
In Elite Care RX v. Premier Comp Solutions, the Pennsylvania Supreme Court was asked to address where a health care provider can pursue a claim against an insurer for unpaid medical bills incurred by injured workers receiving workers' compensation benefits. Must a provider go through the administrative processes of Pennsylvania's Workers' Compensation Act (the act), or could it pursue a civil lawsuit?
September 20, 2024 at 12:43 PM
10 minute read
In Elite Care RX v. Premier Comp Solutions, No. 25 WAP 2023, the Pennsylvania Supreme Court was asked to address where a health care provider can pursue a claim against an insurer for unpaid medical bills incurred by injured workers receiving workers' compensation benefits. Must a provider go through the administrative processes of Pennsylvania's Workers' Compensation Act (the act), or could it pursue a civil lawsuit?
The court was evenly divided on whether the Pennsylvania Superior Court's ruling that a civil lawsuit was the appropriate path should be affirmed. Thus, the Superior Court's ruling was left intact via a one-sentence per curiam order.
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