Employers Insurance Company of Wasau v. First State Orthopaedics, P.A.
Annotate this CaseIn this case before the Supreme Court of the State of Delaware, the plaintiff, First State Orthopaedics, P.A., sought a declaration that a billing code used by the defendants (a group of insurance companies operating under the Liberty Mutual Group) to deny insurance coverage violated Delaware's workers' compensation law. The defendant companies had stopped using the challenged code six months before the plaintiff filed its complaint and none of the codes in their new billing system contained the same challenged language. The Superior Court held that the discontinuation of the code did not remove the plaintiff's standing to bring the case because the defendants might resume using the code in the future and because they had not "corrected" their response to 19 invoices for which they had previously denied coverage using the challenged code. On appeal, the Supreme Court of Delaware overturned the lower court's decision, ruling that the plaintiff lacked standing to bring the case because the defendants had stopped using the challenged code before the plaintiff filed its complaint, and therefore, the plaintiff's request for a declaration that the code violated workers' compensation law did not seek to address an actual or imminent injury. The court also ruled that the defendants' alleged failure to correct their responses to 19 invoices could not confer standing because the prospective relief that a declaratory judgment affords would not redress the injury caused by the statements already issued to the plaintiff's patients.
Some case metadata and case summaries were written with the help of AI, which can produce inaccuracies. You should read the full case before relying on it for legal research purposes.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.