What We Do

Health Plans and Insurance

  • Statutory and regulatory compliance work involving ADA, ERISA, HIPAA, COBRA, HMO and participating provider relationships
  • Patient Protection and Affordable Care Act (and related federal health care reform) compliance work
  • Litigation, arbitration and mediation on disputes including coverage, contract claims, ADA, ERISA, HIPAA, COBRA, HMO, ACA, and participating provider relationships
  • Resolve coverage disputes, including eligibility, termination, fraud, medical necessity and experimental/investigational determinations
  • Assist in internal and external appeals procedures and work with Independent Review Organizations
  • Litigation, arbitration and mediation on disputes including collections, subrogation liens and reimbursement rights.
  • Representation before the Insurance Division and Prepaid Health Care Advisory Council