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Health insurance policyholders file policy claims to assist in the payment of medical treatment and care. It is the main purpose of having an insurance policy in regards to your personal care. All too often, health insurance companies will unjustly deny a valid claim. Even worse, they will cancel a policy after a claim has been filed. In situations like these it is necessary to seek guidance from an experienced legal professional.
Get started with a free initial consultation; call 954-509-1900 or contact us online.
Insurers are obligated to pay claims in a timely manner and in accordance with the wording in their policies. In order to support the claim denial, an insurance company may attempt to use the policy language to their advantage. This is not uncommon, as insurance companies continuously look for ways to reduce costs and increase profit.
When a claim has been denied, it may be subject to an appeals process. Appealing a claim usually begins by contacting your insurance company. The typical method of contact is a mailed letter. This sounds simple, but a poorly written request could result in an appeal being rejected. Professional writing can increase the chances for denied claim to be reversed, especially when citing specific examples that are often only known with being within health insurance litigation for some time.
The legal basis for appealing a denial can also be complex, and upholding a claim against an insurance company is a difficult task. The claimant will be required to produce evidence that substantiates receipt of the benefit. This may include proving medical necessity or a detailed critique of the denial.
If a valid claim has been denied, or a policy has been cancelled, an insurance litigation attorney will help ensure the policy terms are honored. They will represent policyholders so they receive the health coverage they are entitled to. Understanding this type of law can be the difference in the continued denial, or acceptance, of a claim.
Contact us online or call 954-509-1900 to learn more during a free, confidential consultation.
If you or someone you love has been harmed by the negligent or wrongful conduct of another, our South Florida personal injury attorneys are here to help you understand your legal options and fight for the fair recovery you deserve. In every instance, we work to recover the maximum compensation our clients are owed for their medical expenses, lost income, pain and suffering, and other losses. Throughout the process, we will remain consistently accessible to you—we even provide clients with our personal contacts so that they can always reach us with questions or concerns.
There is absolutely no cost and no obligation in speaking to a member of our team about your case. We also offer our legal services on a contingency fee basis, which means you do not owe any upfront costs when you hire our team. Instead, we only collect legal fees if we successfully secure a settlement or verdict for you.
Whether you have questions or you’re ready to get started, our legal team is ready to help. Complete our form below or call us at (954) 289-5070.
