CompFox AI Summary
This case involves a dispute over whether the defendant, The Vons Companies, Inc., properly transferred applicant Kathryn Butler into its Medical Provider Network (MPN) for her right knee replacement surgery. The defendant argued the applicant should be treated in Oklahoma and by an MPN physician, citing geographic and MPN rules. However, the Board found the defendant failed to demonstrate it complied with MPN transfer statutes and regulations. Therefore, the defendant's petition for reconsideration was denied, allowing the applicant to proceed with surgery by her long-time treating physician in California.
Full Decision Text1 Pages
This case involves a dispute over whether the defendant, The Vons Companies, Inc., properly transferred applicant Kathryn Butler into its Medical Provider Network (MPN) for her right knee replacement surgery. The defendant argued the applicant should be treated in Oklahoma and by an MPN physician, citing geographic and MPN rules. However, the Board found the defendant failed to demonstrate it complied with MPN transfer statutes and regulations. Therefore, the defendant's petition for reconsideration was denied, allowing the applicant to proceed with surgery by her long-time treating physician in California.
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