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Provider can sue insurer in billing dispute

A health care provider, acting as assignee of an insured’s right to PIP benefits or as a plaintiff in a direct action under MCL 500.3112, may sue an insurer to recover the difference between what the assignee billed and what the insurer paid when there is a dispute over the reasonableness of the charges, a panel of the Michigan Court of Appeals has ruled.

No-Fault Law — Standing – Assignment

Where a health care provider sued an insurer to recover the difference between what the provider billed and what the insurer paid, the insurer should not have been granted summary disposition, as there is a dispute over the reasonableness of the charges, so the health care provider has standing to bring such a claim directly against the insurer.

Los Angeles Unified School District and Others Learn Elementary Lesson in Contract Law After $2 5 Million Verdict and Seven Year Legal Battle

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