Case Number
M2023-00774-COA-R3-CV
State employee received proton beam radiation therapy for prostate cancer. Insurance company denied authorization of the treatment as “investigational” and not “medically necessary” pursuant to the insurance plan and its medical policy. After exhausting administrative remedies, the employee submitted an appeal to the Tennessee Claims Commission, alleging breach of contract. The Claims Commission found that the treatment was not a covered expense, granting summary judgment in favor of the State. We now affirm.
Originating Judge
Commissioner James A. Haltom
Date Filed
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