5th Circuit Likens Reversal Of Insurer’s Denial To Sister Circuit Rulings

(September 20, 2024, 12:55 PM EDT) -- NEW ORLEANS — In a Sept. 19 reversal calling one of the insurer’s statements “a doozy,” a Fifth Circuit U.S. Court of Appeals panel ruled an insurer’s denial of partial-hospitalization benefits for child’s eating disorder substantively and procedurally deficient, also saying the insurer’s failure to respond to an administrative appeal regarding reimbursement rate “forfeited its rights to contest” that issue....