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Information contained on this page is provided by an independent third party content provider. WorldNow and this Station make no warranties or representations in connection therewith.LOS ANGELES, Aug. Court of Appeals 9th Circuit decision in Pacific Shores Hospital v. United Behavioral Health, Nike Air Max 90 Black Watermelon Sneaker et al., a case in which a severely anorexic 43 year old woman sought benefits under her Wells Fargo employee health benefit plan for inpatient psychiatric treatment.The claims administrator, United Behavioral Health ("UBH"), denied the claim as not medically necessary based on opinions its physician reviewers. Kantor Kantor filed suit against UBH and the Wells Fargo Company Health Plan. At trial, the district court ruled in favor of defendants. Court of Appeals for the 9th Circuit reversed the district court judgment. In a decision by Circuit Court Judge William Nike Air Max 90 Ultra Essential Black White

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Court Rules Benefits Wrongly Denied For Treatment Of Severe Anorexia

A. Fletcher, the court held that UBH abused its discretion in denying benefits for the patient treatment. The court determined "[t]here was a striking lack of care by" the UBH physicians which resulted in a plethora of errors. The court found that the UBH physicians mischaracterized the patient medical history and condition, including her weight, suicide risk, caloric intake, and laxative abuse.The court expressed concern that the administrative record in this complex case was "based entirely on telephone conversations and voicemail messages" which raised questions about the thoroughness and accuracy of the benefits determination."The decision is vindication for patients with eating disorders and other severe mental illness whose claims for benefits have been unfairly handled by UBH and other administrators," said Lisa Kantor, founding partner of Kantor Kantor. "The decision cautions administrators to avoid the obvious mistakes, mischaracterizations, and contradictions that were prevalent in this case," said Kantor.The court concluded: "The unhappy fact is that UBH acted as a fiduciary in name only, abusing the discretion with which it had been entrusted."Kantor Kantor is the largest law firm in Nike Air Max 90 Floral

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disability, and long term care policies. The firm has extensive experience with the complex appeals process and federal court litigation of ERISA matters, and files more ERISA cases than any other law firm inCalifornia.

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