What We Do
Health Plans and Insurance (Health Maintenance Organizations, Participating Provider Organizations and Managed Care Plans)
- 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