When your health insurance company denies or underpays claims for benefits that are critical to the protection of you and your family, it creates an enormous level of stress and frustration. It also requires a substantial time investment on your part to wade through all of the paperwork and procedures that you must follow in order to properly dispute the health insurance company’s determination to deny or underpay claims for health services that were necessary for you and your family. Schwartz Law can help you. We have successfully represented clients on numerous health insurance claims, including:
- Denials by insurance companies claiming that the procedure was “experimental”
- Denials by insurance companies for lack of medical necessity
- Denials by insurance companies claiming the benefits were required to be in network
- Denials by insurance companies claiming prior authorization was not obtained
Underpayments by insurance companies where they claim that the reasonable and customary amount is much lower than the amount being claimed by the doctor or healthcare provider.
Schwartz Law can help make the health insurance company keep its promises to you, while simultaneously keeping the medical bill collectors off your back.