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law.justia.com/cases/federal/district-courts/new-jersey/njdce/2:2016cv08222/341042/21

Jun 12, 2017 ... UNIVERSITY SPINE CENTER v. HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY et al, No. 2:2016cv08222 - Document 21 (D.N.J. 2017) case opinion from the District of New Jersey US Federal District Court.

www.robertsbartolic.com/wp-content/uploads/2017/12/University-Spine-Center-v-Horizon-Blue-Cross-Blue-Shield-of-New-Jersey.pdf

Dec 12, 2017 ... 2017 WL 6372238. Only the Westlaw citation is currently available. NOT FOR PUBLICATION. United States District Court,. D. New Jersey. UNIVERSITY SPINE CENTER, On assignment of Robert S., Plaintiff, v. HORIZON BLUE CROSS BLUE . SHIELD OF NEW JERSEY, Defendant. Civil Action No.: 17-193 ...

www.horizonblue.com/providers/products-programs/evicore-health-care/musculoskeletal-program

Horizon Blue Cross Blue Shield of New Jersey is committed to providing your patients, our members, with access to high-quality health care services that are consistent ... eviCore conducts Prior Authorization and/or Medical Necessity Determination (PA/MND) reviews of certain musculoskeletal pain management and spine ...

www.horizonblue.com/sites/default/files/pdf/2012RadiologyBundlingRules.pdf

Jul 5, 2012 ... Horizon Blue Cross Blue Shield of New Jersey. When any combination of codes including one from column A .... CT lumbar spine W. 72129. CT thoracic spine WO. 72132. CT lumbar spine WO. 72130. CT thoracic spine W/WO. 72133. CT lumbar spine W/WO. 70540. MRI orbit, face, and/or neck WO. 70547.

www.horizonblue.com/providers/news/news-legal-notices/spine-surgery-services-to-require-pa-mnd

Aug 1, 2016 ... Beginning November 1, 2016, Horizon Blue Cross Blue Shield of New Jersey will expand our collaboration with eviCore healthcare (f/k/a CareCore National) to require Prior Authorization & Medical Necessity Determination (PA/MND) for Spine Surgery services. This collaboration will be known as Horizon ...

www.wagnerlawgroup.com/documents/SomeStandingIssuesUnderERISAMarch2017BSalkinBLJArticle.pdf

The US Supreme Court has defined standing as “whether the liti- gant is entitled to have the court decide the merits of the dispute or of particular issues.”1 Subject matter jurisdiction in ERISA litiga- tion involves both constitutional limits on federal courts2 and pru- dential limitations3 on its exercise.4 Even if a plaintiff has a ...