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Verification of Insurance Benefits Not Agreement to Pay

The following summaries are of recent published decisions of the California appellate courts, the Ninth Circuit, and the United States Supreme Court. The summaries are presented without regard to whether Severson & Werson represented a party in the case.

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Aton Center, Inc. v. United Healthcare Ins. Co. (2023) 2023 WL 4782433

A health insurance company's verification of benefits (i.e., confirmation that the patient is insured, covered, and eligible for coverage) is not an enforceable oral promise to pay for the patient's treatment by a health care provider.  Here, summary judgment was properly granted against a health care provider's breach of oral and implied contract claims.  It produced no evidence to show… Read More