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Ruling on Dismissal in Business Tort Case Against Blue Cross Changes Little


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2 days ago
Last Friday, Judge Holly L. Teeter considered but disposed of Orchestrate HR Inc. and Vivature Inc.’s (together, Vivature) added claims that Blue Cross Blue Shield Kansas (Blue Cross) mislabeled health insurance claims it submitted as fraudulent or improper. The District of Kansas opinion cautioned that the operative complaint failed to address prior versions’ defects, “leaving the case in essentially the same position it was in November 2019.”
The complaint centers on Vivature’s partnership with universities to help them bill insurers for medical services performed by licensed athletic trainers. Vivature reportedly contracts with schools, assists them in filing insurance claims, and receives a share of the billings collected. The conflict arose when Blue Cross denied many of the claims submitted by Vivature for its university clients and began marking them as fraudulent or improper. ....

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