Health Insurance Claims

It is insurance that gives you coverage for healthcare costs when you are sick. Medical emergencies can lead to high medical bills and if you do not have insurance, the expenses can be very severe. If the insurance company refuses you treatment coverage unfairly, you might have to start an appeal.

If you are having legal problems with your health insurance provider or if you are an employee of a company being accused of illegal conduct, you should look for legal advice. You have the right to request an appeal to the insurer if:

  • Payment for care is denied
  • Insurer rules care is unnecessary
  • The insurer rules out the individual for the benefit.
  • Insurer claims treatment is experimental
  • Insurer claims individual has a pre-existing condition
  • If you are a healthcare agent accused of acting illegally for your insurance company, speak to a lawyer immediately for help.
     

Should I Hire a Health Insurance Attorney?

If the amount written off by a health insurance company is not appropriate and the person thinks they should receive money back, they may press charges. If you work at a health insurance company, consider getting an attorney to review your case right away. Since you probably have legal counsel through your company, you should still hire your own to look after your interests and clear your name of all allegations. An attorney who works with health insurance matters can analyze if you are liable and what options you have available.

Find a lawyer near you

Enter information in at least one field (required)
Legal issue or attorney name
Location (city/state or ZIP code)