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Case Name | Davis v. First Health Group Corp. | |
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Date | 11/25/2009 | |
Note | [Unpublished] The court did not abuse its discretion by denying a requested mandatory preliminary injunction because this did not represent an extreme case in which claimant's right to the relief was clearly established. | |
Citation | H032183 | |
WCC Citation | WCC 35822009 CA |
H032183 (Monterey County Super. Ct. No. M84885) Defendant First Health Group Corporation is a preferred provider organization (PPO) and provides health benefits services to employers throughout the country. Davis brought suit against First Health nearly six months later, claiming, among other things, that First Health was required to give him a fair hearing and fair procedure before it delisted him. In the application, Davis sought a TRO "restraining [First Health] from failing to allow [Davis] to continue as a preferred provider on its Provider Group Network unless and until such time as it has conducted a fair hearing or other fair adjudicatory proceeding . Adamson also stated that First Health had received Davis's summaries "and various QME providers' reports," which had been reviewed by an unnamed Medical Director of First Health, who recommended delisting Davis. According to supplemental materials supplied by Davis in support of his application,*fn3 First Health is a wholly-owned subsidiary of Coventry Health Care.
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