A Detroit federal judge has certified a class in a case alleging that Blue Cross Blue Shield of Michigan has denied a needed therapy to children with autism.
Judge Stephen J. Murphy III’s July 14 order in Potter v. Blue Cross Blue Shield of Michigan certified two subclasses. The first subclass includes individuals who were covered by a Blue Cross Blue Shield of Michigan policy on or after Dec. 16, 2004, and who made a claim for applied behavior analysis (ABA) therapy that was denied on the grounds that it is investigative or experimental. The other subclass includes individuals in the same coverage class who did not make a claim for ABA treatment because of the insurance company’s policy that such treatment is deemed to be investigative or experimental.
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