Molina Healthcare of Texas, Inc. v. ACS Primary Care Physicians Southwest, PA and Emergency Services of Texas, PA
Excerpt
**Molina Healthcare of Texas, Inc. v. ACS Primary Care Physicians Southwest, PA and Emergency Services of Texas, PA**
Court: Texas Court of Appeals, 1st District (Houston)
Filed: 2024-10-21T00:00:00-07:00
URL: https://www.courtlistener.com/opinion/10161915/molina-healthcare-of-texas-inc-v-acs-primary-care-physicians-southwest/
providers “at rates substantially below both [the providers’] billed charges and the ‘usual and customary rate’ for the emergency medical services” provided to the insureds. The providers further alleged that Molina had engaged in unfair claims settlement practices under the Insurance Code by (1) underpaying the providers’ claims and thus failing to attempt in good fai…
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