11th Cir. Mulls How Surprise Bill Law Defines Arbitration Fraud

A panel of 11th Circuit judges questioned whether doctors and insurers are generally allowed to sue following arbitration over surprise medical bills, zeroing in on how the law treats fraud versus accidental misrepresentation in the resolution process.

REACH Air Medical Services LLC sought to convince the US Court of Appeals for the 11th Circuit in oral arguments Tuesday that Kaiser Health Plan Inc. fraudulently lowered a key payment factor during arbitration with the air ambulance provider over nearly $52,000 in medical charges in an attempt to make REACH’s offer look unreasonable.

The air ambulance provider also argued arbitrator C2C Innovative ...