A seasoned lawyer has several avenues at their disposal to attempt to settle a health insurance dispute. Your health insurance policy needs to be carefully reviewed first to determine the procedures that must be followed to ensure that coverage is provided.

The next step is usually to contact your health insurance company. In some cases, by submitting additional documentation, the claim may be approved. If a denial of coverage is still made, your attorney will often be able to file an administrative appeal and submit additional evidence and argument to resolve the dispute. If the appeal doesn’t provide a satisfactory result, the lawyer may represent a client with a health insurance dispute in court. In order to minimize their potential losses, healthcare insurance companies sometimes include arbitration clauses in their contracts. These clauses require consumers to submit their claims to arbitration, in which a third-party arbitrator has the power to decide the case.

If your health insurance carrier has denied medical expenses or treatment that’s covered by your policy, it’s time to put the legal acumen of Andalman & Flynn to work for you.

If you’re disabled and have been denied necessary medical treatments or services, it’s important that you act quickly to protect your legal rights.