May 17, 2018 / 11:25 AM / 10 months ago

3rd Circuit upholds clause banning patients from assigning claims to providers

Employer-provided health insurance plans can block participants from assigning their benefits to the doctors who treat them, a federal appeals court said on Wednesday in a win for Independence Blue Cross Blue Shield of Philadelphia.

In a case of first impression for the 3rd U.S. Circuit Court of Appeals, a unanimous three-judge panel upheld the enforceability of anti-assignment clauses, which many insurance plans include as a way to stop out-of-network providers from seeking more reimbursement than the plan allows.

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