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U.S. District Court rejects BC/BS’s denial of insurance coverage for autism treatment.

April 4, 2013

The court held that BC/BS was arbitrary in their denial of insurance coverage for autism related treatments.

The Detroit-based insurer rejected claims for applied behavior analysis, contending the autism treatment was investigative or experimental. Judge Stephen J. Murphy III ruled last week that the basis for denial was “arbitrary and capricious” and sent the claims back for reconsideration.

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April 4, 2013

The court held that BC/BS was arbitrary in their denial of insurance coverage for autism related treatments. The Detroit-based insurer rejected claims for applied behavior analysis, contending the autism treatment was investigative or experimental. Judge Stephen J. Murphy III ruled last week that the basis for denial was “arbitrary and capricious” and sent the claims [...]

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