Rowe Plastic Surgery of NJ LLC v. Aetna Life Insurance Company

Docket No.
2:25-cv-15053
District Court
New Jersey

Goal

  • Award damages

Litigation Content

Why This Matters:

Why This Matters:

The plaintiff, a New Jersey-based plastic surgeon, sued a health insurer following the resolution of the No Surprises Act’s arbitration process—a process used to resolve payment disputes for surprise out-of-network bills between payers and out-of-network health care providers. The plaintiff alleges that the insurer failed to make the arbitration payments and asks the court to confirm the arbitration awards. The No Surprises Act provides for strict limitations on the judicial review of arbitration awards to facilitate a swift and cost-efficient resolution of disputes between payers and providers.

Potential Impact:

Potential Impact: 

Actions that flout the intent of the No Surprises Act arbitration process could lead to higher costs and lower-quality care for patients.

Litigation Information

Current Status

Briefing is ongoing

Important Date

Non-Party Insurers' Amicus Brief Due