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· 10/11/2002

River Park Hospital, Inc. v. BlueCross BlueShield of Tennessee, Inc.

Citations

  • 173 S.W.3d 43
  • 2002 Tenn. App. LEXIS 723

How courts have described this case

Verbatim parenthetical descriptions written by other courts when citing this decision. Ranked by citation-network relevance.

  • affirming the trial court’s finding of “a contract implied in law, i.e., unjust enrichment,” and remanding to determine “a reasonable rate of reimbursement”
  • affirming trial court’s finding that insurer was unjustly enriched by provider’s provision of services to insurer’s enrollees
  • defining “balance billing” as “the practice of a provider billing an enrollee for any amount charged by the provider but not paid by the [insurance plan].”
  • out-of-network provider insisted on insurance company paying “standard” rates for patients it was required to treat while insurance company insisted on paying much lower “in-network” rates
  • “[A] hospital must provide services to a person with an emergency medical condition until the person’s condition has stabilized, without regard to whether the person has insurance.”
  • “[T]he terms ‘unjust enrichment’ and ‘contract implied in law’ are used virtually interchangeably.”

Source: CourtListener parenthetical corpus (CC0).

Judges: Holly Kirby Lillard

Read full opinion on CourtListener

Sourced from CourtListener / Free Law Project (CC0).

This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.