Denial of Benefits

How to Recognize Insurance Bad Faith

by Lewis and Pokora on 5/16/2013

When you purchase an insurance policy and pay your monthly premiums, you expect your insurer to honor claims when you suffer a loss. One of insurance’s greatest benefits is supposed to be the peace of mind it purchases — the...more

Understanding The Social Security Disability Appeals Process

by Stipe, Harper, Laizure, Uselton, Belote,... on 5/13/2013

Our firm is focused on relieving the hardship experienced by our clients either through experienced representation in personal injury matters or by helping you apply for needed workers’ compensation or Social Security...more

The Truth About SSD Denials

by Lanier Law Group, P.A. on 4/30/2013

You've worked hard. You've paid into Social Security. But now you're injured and you need benefits. What do you do if your application is denied? The first thing you need to realize is that most Social Security Disability...more

Are They Calling Your Herniated Disc a Lumbar Strain?

by Virginia L. Hunt on 3/26/2013

There is a renewed trend among particular self-insured employers and third-party administrators (TPA's) in Nevada to send a Notice of Claim Acceptance for "lumbar strain only" on low back injury claims. My fellow claimants'...more

CMS Addresses Hospital Rebilling After Inpatient Denials Through Interim Administrator Ruling and Proposed Rule

by Darby C. Allen, B. Scott McBride | BakerHostetler on 3/22/2013

On March 18, the Centers for Medicare and Medicaid Services (CMS) published in the Federal Register two important documents addressing the hotly contested issue of a hospital's ability to obtain payment under Part B for...more

District Court Permits ERISA Claim for Benefits of IRO Review, Holding Such Review Is Not an Arbitration

by Kara L. Lincoln, Brian S. Neulander, Robert Rachal | Proskauer - ERISA Practice Center on 3/20/2013

In Yox v. Providence Health Plan, No. 12–cv–01348, 2013 WL 865968 (D. Or. Mar. 8, 2013), a federal district court held that the review of benefit denials by an independent review organization (IRO) is not akin to an...more

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