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Fighting a Health Plan’s “Investigational” Denial of a Medical Claim

Health plan contracts typically have exclusions for treatments that an insurance company considers “investigational” or “experimental.” Health plans say there is insufficient proof demonstrating that certain treatments are ...

Class Certified Against United HealthCare for Refusing to Cover Artificial Lumbar Disc Surgery

The United States District Court of the Central District of California has certified a class of plaintiffs in a Gianelli & Morris lawsuit alleging that UnitedHealthcare Insurance Company categorically denies coverage for artificial lumbar disc ...

LaRue V. Accountable Health Care, IPA

Rob Gianelli of Gianelli & Morris and Rene Kern of the Kern Law Group obtained a $7,225,000 jury verdict on behalf of plaintiff Terry LaRue, against Accountable Health Care, IPA ("Accountable") for failure to provide LaRue with timely ...

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