Case Summary
**Case Summary: Ohio State Chiropractic v. Humana Health**
**Docket Number: 2919984**
**Court:** [Specify Court, if known]
**Date:** [Specify Date, if known]
**Background:**
This case involves a dispute between Ohio State Chiropractic, a healthcare provider, and Humana Health, an insurance company. The central issue pertains to the reimbursement policies and practices of Humana Health concerning chiropractic services rendered by Ohio State Chiropractic. Ohio State Chiropractic claims that Humana Health improperly denied or delayed payments for services provided to patients covered under Humana Health insurance plans.
**Facts of the Case:**
- Ohio State Chiropractic is a licensed chiropractic practice providing various treatments to patients.
- Humana Health is a health insurance provider that offers plans covering chiropractic services.
- Ohio State Chiropractic submitted claims to Humana Health for reimbursement but faced multiple denials, asserting that the services provided were either unnecessary or not covered under the terms of the insurance policy.
- Disputes arose regarding the interpretation of the benefit policies and the adequacy of documentation provided for the claims.
**Issues:**
- Whether Humana Health acted within its rights when denying reimbursement for services billed by Ohio State Chiropractic.
- Whether Ohio State Chiropractic met the necessary criteria for the services claimed to be reimbursed.
- The obligations of Humana Health regarding timely payment and clear communication about coverage limitations.
**Ruling:**
[Provide details of the court's ruling or judgment, if available, including any orders for payment, policy clarifications, or implications for future claims between the parties.]
**Conclusion:**
The case exemplifies the ongoing complexities and challenges faced by healthcare providers in navigating insurance reimbursement processes. The outcome may have broader implications for chiropractic practices and their relationships with health insurance carriers regarding claim reimbursements and policy interpretations.
**Note:**
This summary is based on general knowledge and hypothetical details. For accurate information, please refer to actual court documents or legal resources pertaining to the case.