Dr. James J. Lanasa, Jr. VS Vantage Health Plan, Inc.

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STATE OF LOUISIANA COURT OF APPEAL, FIRST CIRCUIT DR. JAMES J. LANASA, JR. NO. 2018 CW 0871 VERSUS VANTAGE HEALTH PLAN, INC. SEP 0 4 2018 In Re: Vantage Baton BEFORE: Baton rendered herein the J. LaNasa, Jr. of Coverage 956 of The in So. 2d Dr. We when 583, 589. We insured would charges network provider, owed Dr. to been since she LaNasa was as a as no judgment APPEAL, PUTY FOR CLERK THE FIRST OF had had and 19th judgment of judgment is Health See La. Plan, C. C. 2007- 0054 ( as required the surgery for responsible she used not below met the CIRCUIT COURT COURT Vantage of 2017 pre - authorization the her by the been Inc., 2050; art. 5/ 22/ 07), La. the her the contract. entirety services of for authorized, deductible, amount AHP D 2017 Inc., MRT OF the JJ. whole. Home, JMG COURT East it by respondent, Dr. James ambiguity in the Vantage Certificate obtained even have of conclude Vantage properly denied payment claims surgery that, find supervisory Parish against find no was s PENZATO, 6, Court, 659, 174. relator, filed Funeral further LaNasa' of construed LaNasa' s patient District November favor claims Mulhearn v. AND for applying District Court affirming the April 18, Rouge City Court is hereby reversed dismissing Sims Inc., 619, 025 & Nos. THERIOT, GRANTED. Judicial Plan, Judicial Rouge, GUIDRY, WRIT the Health 19th writs, of and an the deductible. of out- We the Dr. out -of - amount

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