Pacific Recovery Solutions v. United Behavioral Health

Good Law
United States District Court, Northern District of CaliforniaApril 1, 20214:20-cv-02249California2,969 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

v. Re: Dkt. Nos. 85, 86

UNITED BEHAVIORAL HEALTH, ET AL.,

10 Defendants.

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 two prior iterations of the complaint, with leave to amend. Plaintiffs filed a Second Amended Complaint (“SAC”), in which they assert, on their own behalf and on behalf of a proposed class of similarly-situated out-of- network IOP providers, multiple claims under California law that arise out of defendants’ alleged under-reimbursement of…

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