Maximizing Usual, Customary and Reasonable (UCR) Reimbursement

Maximize your reimbursement by implementing the following practical tips...
Prompt Payment of Claims

Slow claim payments is a major concern for physicians...
Recent Case Study

Eric Katz helps cancer patient give her surgeon a special gift...

Mr. Katz named to Best Lawyers in America consecutively since 2012.


Mr. Katz was voted a New Jersey Super Lawyer by his peers consecutively since 2007.

Mr Katz received this award due to his multiple million dollar settlements on behalf of his clients.

Mr. Katz is a Certified Civil Trial Attorney, a status held by only 2% of New Jersey attorneys.
Mr. Katz is one of only 3000 lawyers in the U.S. selected for this prestigious award.
   

Mr. Katz's Case Law Decisions

» December 14, 2018: North Jersey Brain & Spine Center v. MultiPlan, Inc., et al., 2018 WL 6592956 (D.N.J.)
» November 9, 2018: Kayal Orthopaedic Center v. United Healthcare Insurance Company, et al., Superior Court of New Jersey, Docket No. ESX-L-6164-18.
» September 24, 2018: MHA, LLC v. Brach Eichler, 2018 WL 4556971 (N.J. App. Div.)
» August 3, 2018: MHA, LLC v. Healthfirst, 2018 WL 3672966 (N.J. App. Div.)
» June 23, 2018: MHA, LLC v. Empire Healthchoice HMO, 2018 WL 3579463 (N.J. Super.L.)
» May 7, 2018: North Jersey Spine Group v. Blue Cross Blue Shield of Mass., 2018 WL 2095174 (D.N.J.)
» January 25, 2018: MHA, LLC v. Empire Healthchoice HMO, 2018 WL 549641 (D.N.J.)
» January 10, 2018: North Jersey Brain & Spine Center v. Aetna Life Ins. Co., 2018 WL 358492 (D.N.J)
» December 14, 2017: North Jersey Brain & Spine Center v. Horizon Blue Cross Blue Shield, 2017 WL 6816741 (D.N.J.)
» December 12, 2017: North Jersey Brain & Spine Center v. Aetna Life Ins. Co., 2017 WL 6816733 (D.N.J.)
» September 15, 2017: North Jersey Brain and Spine Center v. Aetna Life Ins. Co. and KPMG LLP, Superior Court of New Jersey, Docket No BER-L-2477-17
» September 15, 2017: North Jersey Brain and Spine Center v. Aetna Life Ins. Co., Superior Court of New Jersey, Docket No. BER-L-3333-17
» April 4, 2017: North Jersey Brain and Spine Center v. Aetna Life Ins. Co., 2017 WL 1294002 (D.N.J.)
» March 20, 2017: North Jersey Brain and Spine Center v. Aetna Life Ins. Co., 2017 WL 1055957 (D.N.J.)
» February 17, 2017: North Jersey Brain and Spine Center v. Aetna Life Ins. Co., et al., 2017 WL 659012 (D.N.J.)
» November 22, 2016: North Jersey Brain and Spine Center v. Aetna Life Insurance Company, et al., 2016 WL 6892076 (D.N.J.)
» November 17, 2015: MHA LLC v. HealthFirst, Inc., 629 Fed. Appx. 409 (3d Cir)
» September 11, 2015: North Jersey Brain & Spine Center v. Aetna, Inc., 801 F.3d 369 (3d Cir)
» July 22, 2015: Neale v. Volvo Cars of North America, LLL, 794 F.3d 353 (3d Cir)
» Jan 13, 2015: North Jersey Brain And Spine Center v Hereford Ins Co, 2014 WL 7510327 (N.J. Super.L.)
» June 23, 2014: NJSR Surgical Center v. Horizon Blue Cross Blue Shield, 2014 WL 2854707 (D.N.J.)
» February 12, 2014: Dewey v. Volkswagen of Am., 2014 WL 542224 (3d Cir.)
» October 24, 2013: NJSR Surgical Center, L.L.C., et al. v. Horizon Blue Cross Blue Shield of New Jersey, 979 F. Supp. 2d 513 (D.N.J.)
» October 7, 2013: Kirsch, D.D.S., v. Horizon Blue Cross Blue Shield of New Jersey, 2013 WL 5507660 (N.J.Super.A.D.)
» September 25, 2013: North Jersey Brain and Spine Center v. Saint Peter's University Hospital, 2013 WL 5366400 (D.N.J.)
» July 31, 2013: Kirsch, D.D.S., Jungels, D.M.D. v. Delta Dental of New Jersey, 2013 WL 3929853 (3d Cir.)
» June 10, 2013: Oxford Health Plans LLC v. Sutter, 133 S.Ct. 2064 (2013)
» March 26, 2013: Neale v. Volvo Cars of North Am., 2013 WL 1223354 (D.N.J.)
» March 18, 2013: Dewey v. Volkswagen of Am., 2013 WL 3285105 (D.N.J.)
» March 4, 2013: Neale v. Volvo Cars of North Am., 2013 WL 795597 (D.N.J.)
» March 1, 2013: Neale v. Volvo Cars of North Am., 2013 WL 785059 (D.N.J.)
» March 1, 2013: Neale v. Volvo Cars of North Am., 2013 WL 785056 (D.N.J.)
»

March 1, 2013: Neale v. Volvo Cars of North Am., 2013 WL 784962 (D.N.J.)

» December 14, 2012: Dewey v. Volkswagen of Am., 909 F. Supp. 2d 373 (D.N.J.)
» November 26, 2012: Dewey v. Volkswagen of Am., 2012 WL 8433901 (D.N.J.)
» July 23, 2012: Kirsch, D.D.S.v. Horizon Blue Cross Blue Shield, Superior Court of New Jersey.
» July 18,2012: N. Jersey Brain & Spine Ctr. v. Anthem Blue Shield, 2012 WL 2952423 (D.N.J)
» July 11, 2012: Sutter, M.D. v. Horizon Blue Cross Blue Shield, Superior Court of New Jersey, Appellate Division, 2012 WL 2813813
» April 4, 2012: Sutter, M.D. v. Oxford Health Plans, United States Third Circuit Court of Appeals, Opinion, 675 F.3d 215 (3d Cir. 2012)
» February 8, 2012: Kirsch, D.D.S. and Jungels, D.M.D. v. Delta Dental of New Jersey, United States District Court for the District of New Jersey, Opinion Granting Final Approval to National Dentist Class Action Settlement.
» October 6, 2011: N. Jersey Brain & Spine Ctr. v. Conn. Gen. Life Ins. Co., 2011 WL 4737063 (D.N.J)
» July 5, 2011: Sutter, M.D. v. Oxford Health Plans, United States District Court for the District of New Jersey, Opinion, 2011 WL 2652163 (D.N.J.)
» June 30, 2011: N. Jersey Brain & Spine Ctr. v. Conn. Gen. Life Ins. Co., 2011 WL 4737067 (D.N.J)
» February 22, 2011: Sutter, M.D. v. Oxford Health Plans, United States District Court for the District of New Jersey, Opinion, 2011 WL 734933 (D.N.J.)
» July 30, 2010: Delguercio v. Volkswagen of America and Audi, United States District Court for the District of New Jersey, Opinion Granting Final Approval to Nationwide $80 Million Class Action Settlement with Volkswagen and Audi
» June 16, 2010: Sutter, M.D. v. Horizon Blue Cross Blue Shield of New Jersey, Superior Court of New Jersey, Opinion Granting Final Approval to Physician Class Action Settlement
» April 23, 2010: Neuro-Group, PA v. Horizon Blue Cross Blue Shield of New Jersey, United States District Court, District of New Jersey, Opinion & Order
» August 24, 2009: North Jersey Brain and Spine Center v. Health Net, Inc., 2009 WL 10696172 (Law. Div.), Opinion
» March 26, 2009: Kaufman v. Allstate New Jersey Insurance Company, et al., United States Third Circuit Court of Appeals, Opinion
» March 25, 2009: Sutter, MD v. Horizon Blue Cross Blue Shield, Superior Court of New Jersey Appellate Division, Opinion
» August 1, 2008: Beye v. Horizon Blue Cross Blue Shield of New Jersey and Magellan Health Services, United States District Court for the District of New Jersey Opinion Denying Defendants' Motion to Dismiss Eating Disorder Coverage Class Action
» July 29, 2008: Beye v. Horizon Blue Cross Blue Shield of New Jersey and Magellan Health Services, United States District Court for the District of New Jersey Opinion Denying Defendants' Request to Compel Certain Eating Disorder Victims to Undergo Physical Examinations
» June 27, 2008: Freeland vs. Liberty Mut. Ins. Co., 2008 WL 2625226 (D.N.J. 2008)
» February 14, 2008: Kirsch, D.D.S. v. Delta Dental of New Jersey, United States District Court for the District of New Jersey Opinion Compelling Delta Dental to Produce Class Discovery
» November 9, 2007: Evenson v. Sawlani, Superior Court of New Jersey, Appellate Division
» October 26, 2007: Nassy v. Patterson-Kelly Co., Superior Court of New Jersey, Appellate Division
» February 28, 2007: Sutter, M.D. v. Oxford Health Plans, United States Court of Appeals For the Third Circuit Opinion Affirming Class Certification, 227 Fed. Appx. 135 (3d Cir. 2007)
» February 8, 2007: Rouwendal v. Anthem Blue Cross & Blue Shield, United States District Court for the District of New Jersey, Transcript & Opinion
» February 2, 2007: Final Approval of Sutter, M.D. v. Horizon Blue Cross Blue Shield Physician Class Action Settlement, Superior Court of New Jersey, Opinion & Order
» March 30, 2006: West Morris Pediatrics v. Henry Schein, Superior Court of New Jersey, Opinion regarding alleged flu vaccine price gouging.
» March 2005: Sutter, M.D. v. Oxford Health Plans, American Arbitration Association, Partial Award Certifying Class Action in Arbitration
» September 21, 2004: Comprehensive Neurosurgical v. NALC Health Benefit Plan, United States District Court for the District of New Jersey, Opinion
» July 27, 2004: Sutter M.D. v. Horizon Blue Cross Blue Shield of New Jersey, Superior Court of New Jersey, Opinion certifying Class Action
» May, 2004: Comprehensive Neurosurgical v. Blue Cross/Blue Shield of Michigan, United States District Court for the District of New Jersey, Opinion
» November 30, 2003: Comprehensive Neurosurgical v. Blue Cross/Blue Shield of Texas, United States District Court for the District of New Jersey, Opinion and Order
» June 6, 2003: Comprehensive Spine Care v. Horizon Blue Cross Blue Shield of New Jersey, Superior Court of New Jersey, Opinion Denying Motion to Dismiss
» February 13, 2003: Sutter, M.D. v. Horizon Blue Cross Blue Shield of New Jersey, Superior Court of New Jersey, 2003 WL 27381731 (Law. Div.) Opinion Denying Motion to Dismiss

 

 

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