Samuel H. Pond

Sep 23, 2024 | propertycasualty360.com | Samuel H. Pond |Emily Cousins |Katie Pope

The  Elite Care RX case was a dispute between insurers and Elite Care, RX, LLC, a billing agent for some of the medical providers who purchased claims from Patient Direct RX, a home delivery pharmacy. (Credit: utah51/Adobe Stock) A recent Pennsylvania court case examined whether a medical provider would be allowed to pursue a civil suit against an insurer for unpaid workers' compensation benefits.

Sep 20, 2024 | law.com | Samuel H. Pond

In Elite Care RX v. Premier Comp Solutions, No. 25 WAP 2023, the Pennsylvania Supreme Court was asked to address where a health care provider can pursue a claim against an insurer for unpaid medical bills incurred by injured workers receiving workers’ compensation benefits. Must a provider go through the administrative processes of Pennsylvania’s Workers’ Compensation Act (the act), or could it pursue a civil lawsuit?

Jan 19, 2023 | law.com | Samuel H. Pond

I implore all players within the Pennsylvania workers’ compensation system, but especially the claimants’ bar, to step up and do the right thing for their clients by eliminating their blind reliance on customs over the clear letter of the law. Injured workers may bear the brunt of this reliance, but as I noted above, employers suffer as well.

Jan 18, 2023 | propertycasualty360.com | Samuel H. Pond

I implore all players within the Pennsylvania workers’ compensation system, but especially the claimants’ bar, to step up and do the right thing for their clients by eliminating their blind reliance on customs over the clear letter of the law. Injured workers may bear the brunt of this reliance, but as I noted above, employers suffer as well.