Prior to 2013, insurance carriers did not have the same appeal rights as beneficiaries and if Medicare made an incorrect determination as to a primary plan’s responsibility for conditional payments, the primary plan was stuck with the responsibility to pay and without...
In a recently argued claim before the North Carolina Industrial Commission, Wallace v. National Vision, 2015 WL 3745634 (June 9, 2015), the parties had to resolve a Medicare Advantage (MAO) reimbursement claim in a disputed case. The injured worker was a MAO...
