Pacific Recovery Solutions v. United Behavioral Health

Good Law
United States District Court, Northern District of CaliforniaDecember 18, 20204:20-cv-02249California7,530 words

Opinion

Trial Court Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF CALIFORNIA 5 CASE NO. 4:20-cv-02249 YGR PACIFIC RECOVERY SOLUTIONS, ET AL.,

ORDER GRANTING MOTIONS TO

Plaintiffs, DISMISS WITH LEAVE TO AMEND v. Re: Dkt. Nos. 71, 72, 80

UNITED BEHAVIORAL HEALTH, ET AL.,

10 Defendants. 11 Plaintiffs1 bring this putative class action against defendants United Behavioral Health (“United”) and MultiPlan, Inc. (“MultiPlan”) for claims arising out of United’s alleged failure to reimburse plaintiffs at “a percentage” of the Usual, Customary, and Reasonable Rates (“UCR”) for Intensive Outpatient Program (“IOP”) services, which plaintiffs provided to patients with health insurance policies administered by United. The Court dismissed a prior iteration of the complaint in its entirety, with leave to amend. Plaintiffs filed a First Amended Complaint (“FAC”), in which they assert, on their own behalf and on behalf of a proposed class of similarly-situated out-of- network IOP providers, claims under Section 1 of the Sherman Act and the Racketeer Influenced 20…

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