Stephanie C. v. Blue Cross Blue Shield of Mass., No. 15-1531 (1st Cir. 2016)
Annotate this CaseThis benefits-denial case related to some charges incurred during M.G.’s stay at a residential/educational mental healthcare facility. Stephanie C., individually and on behalf of M.G., her minor son, brought this action challenging a decision of the claims administrator, Blue Cross Blue Shield of Massachusetts, partially denying her claim for benefits. The district court upheld the partial denial. The First Circuit vacated the district court’s judgment, holding that the district court employed the wrong standard of review when considering the partial denial of benefits, and therefore, the court erred in upholding BCBS’s partial denial of benefits. Remanded.
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