In a major victory for emergency physicians and a win for our novel litigation model, Indiana Federal District Court ruled in favor of Allia Group in the case of eCure Indiana Corp. v. United Healthcare Insurance Company. The case relates to United Healthcare underpaying St. Vincent Emergency Physicians by $15 million over a six-year period. St. Vincent’s physicians provided lifesaving medical services to members of United’s health care service plan.
The court ruled against UnitedHealthcare’s motion to dismiss our case and, most importantly, confirmed Indiana law’s support of emergency physicians’ claims for unjust enrichment and quantum meruit in regard to out-of-network underpayments.
This decision is undoubtedly the first of many which will finally hold large insurance carriers such as UnitedHealthcare responsible for their underpayment of out-of-network emergency physicians. This helps prevent a decline in the quality of and access to emergency care.
We celebrate this monumental decision, which highlights the use of litigation as an important means for emergency revenue recovery.
Allia Group announces another victory in the case of eCure CA LLC v. UnitedHealthcare of California, UnitedHealthcare Benefits Plan of California, and UnitedHealthcare Insurance Company.
Most recently, UnitedHealthcare Insurance Company filed a demurrer to prevent its state-managed health plans from liability to pay reasonable rates for emergency care and post-stabilization care. Allia has defeated that demurrer.
This victory includes maintaining causes of action of unjust enrichment and the Greatest of Three Rule, a federal rule relating to claims for services rendered prior to January 1, 2022.
We celebrate this win which illustrates our sound case and represents a necessary step in our fight to recover revenue for California emergency physicians
