St. Luke’s Hospital v. Benefits Management Consultants, Inc.

In a case of first impression interpreting the Missouri Prompt Pay Act (“MPPA”), The Missouri Court of Appeals, Western District recently affirmed judgment in favor of a health care claims administrator – Benefit Management Consultants, Inc. (“BMI”). Sanders Warren & Russell attorneys Casey Housley and Chris Staley represented BMI. Initially, St. Luke’s Hospital sued BMI alleging, among other claims, that BMI had violated the MPPA by failing to make prompt payment under the statute and claiming millions in actual damages and attorney’s fees. The trial court granted judgment in favor of BMI against St. Luke’s claims finding that the underlying medical claims at issue were not submitted electronically in accordance with MPPA’s mandate. In the first appellate opinion construing the MPPA, the Missouri Court of Appeals, Western District affirmed the trial court’s ruling upholding judgment in favor of BMI and dismissing BMI from the case.