Aetna’s Lawsuit Against Two Texas Physicians Dismissed

A Texas state court has dismissed claims against two physicians made by Aetna, a Fortune 500 American health care company. The two physicians had allegedly given patients referrals that bypassed their in-network agreements and violated Texas law.

The claims, made Dec. 26th, 2013, sought overpayment refunds valued at millions of dollars and a permanent ban to forbid alleged unlawful out-of-network referrals that violate Texas laws. In recent years, similar lawsuits by insurance companies have been made against physicians whose patients have implemented a freedom of choice by paying for out-of-network coverage under employer-sponsored health plans.

Robert Schaffer, a Texas state court judge, dismissed with prejudice the two claims against the physicians on March 26th, 2014. It remains to be seen if an additional “equitable accounting” claim will be dismissed in the future.

Here to Defend You

If you suddenly find yourself in a lawsuit against you or your practice, your insurer could be facing the probability of paying large amounts of money to the plaintiff. In hard times like these, where your financial stability and reputation are on the line, our team of insurance defense lawyers can help.

Our professional team of defense lawyers can provide you with the assertion and determination of highly-trained representation. It doesn’t matter if your practice is big or small, our defense lawyers will provide you with their case-building skills and employment law defense strategies.

While a defense plan is being formulated, we will constantly consult with you to ensure a thorough understanding of the strategy. There is no reason why your insurer should have to pay for claims that are erroneous, false or highly-questionable and we are here to help you prove that.

You Are Not Alone

A lawsuit against your practice can feel like the end the road, but you don’t have to fight it on your own. Our employment and insurance defense attorneys in McAllen and Brownsville are equipped with the necessary skills to help you fight for what’s right.