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Georgiev, Todorov & Co Successful for Hospital in Dispute with Bulgarian Health Insurance Fund

Georgiev, Todorov & Co Successful for Hospital in Dispute with Bulgarian Health Insurance Fund

Bulgaria
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Georgiev, Todorov & Co has successfully defended the interests of Multi-profile Hospital for Active Treatment Doverie against Bulgaria's National Health Insurance Fund in a dispute involving payment for medical care provided by the hospital to health-insured persons above the limits set by the NHIF.

According to Georgiev, Todorov & Co, “the Sofia City Court ordered the NHIF to pay MHAT Doverie the due remuneration for medical care provided on clinical paths over the monetary limit set in the agreement by the NHIF for 2017, along with the statutory interest until the final payment of the amount. The court’s decisive reasoning centers on the constitutional provisions according to which the formation and implementation of the health policy is an obligation of the state. According to the court, proper internal budget planning is an obligation of the defendant NHIF as a compulsory health insurance authority. A deviation from the planned uniform spending of the budget does not limit NHIF`s obligation to pay the providers of hospital care services for all actually performed and reported medical care to health-insured persons. The hospital owes provision of medical care to all health-insured persons, who have requested it. Therefore, the contract between the hospital and the NHIF cannot be interpreted that if the hospital performed medical activity above the set monthly limits, it should be at its own expense. The medical services provided above the limits set by the NHIF, which the hospital was obliged to carry out, are subject to payment.”

The Georgiev, Todorov & Co team was led by Lawyer Mariya Derelieva.

Georgiev, Todorov & Co. at a Glance

Established in 1991, Georgiev, Todorov & Co. Law Offices is one of the first Bulgarian law firms.  It has a particular emphasis on the Banking and Finance, M&A and Concessions, Energy and Natural Resources, Real Estate and Construction, and TMT sectors. The law firm has built a corporate culture, focused on a decision-oriented approach and aimed at understanding the business needs of both domestic and international investors and entrepreneurs in order to fully protect their interests, help them realize their full potential and achieve their business goals. One of its main advantages is the outstanding combination of in-depth knowledge of the substantive law and regulations, and the unparalleled expertise in judicial and arbitral representation, which enables it to provide specifically tailored legal services and to avoid any potential risks for its clients.

Georgiev, Todorov & Co. has participated in many landmark transactions for key players such as the Bulgarian National Bank, Bulgarian Telecommunication Company, Bulgarian Stock Exchange, European Commission, Roche Bulgaria and Microsoft Corporation. The law firm is unquestionably recognized for knowledgeable professionals and outstanding legal assistance in multiple sectors by the most reputable international directories. Moreover, it is a member of several highly recognized global legal organizations, which provides it with an access to extensive information and professional networks, and facilitates the connection with foreign clients for legal issues in all aspects of law.   Georgiev, Todorov & Co. guarantees for the services provided through the implementation of internationally recognized certified systems of quality management (ISO). 

Firm's website: https://georg-tod.com/