Stanford Health Care v. Blue Cross Blue Shield of North Carolina, Inc.

Good Law
United States District Court, Northern District of CaliforniaJanuary 21, 20225:21-cv-04598California7,985 words

Opinion

Trial Court Opinion

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF CALIFORNIA SAN JOSE DIVISION 6 STANFORD HEALTH CARE, Case No. 21-cv-04598-BLF

Plaintiff,

ORDER GRANTING MOTION TO

v. DISMISS WITH PARTIAL LEAVE TO

AMEND

BLUE CROSS BLUE SHIELD OF NORTH CAROLINA, INC., [Re: ECF No. 16] 11 Defendant. 12 13 Before the Court is Blue Cross Blue Shield of North Carolina, Inc.’s (“BCBS”) Motion to Dismiss Plaintiff Stanford Health Care’s (“Stanford”) First Amended Complaint. Stanford alleges that it provided medical services to members (“Patients”) of BCBS, which provides health insurance, as an out-of-network provider. Stanford alleges that it billed BCBS, but BCBS paid for only a small fraction of these services. Stanford brings claims for (1) breach of implied contract and (2) quantum meruit against BCBS, alleging that BCBS’s conduct—including an agreement it had with Anthem Blue Cross (“Anthem”), the verification of benefits and authorization of services it provided to…

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