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?