One of the most common reasons health insurance providers give when denying a claim is that the requested procedure or treatment was not “medically necessary.” Cosmetic procedures or other elective treatments are typically excluded from coverage for this reason. In many cases, however, a treating physician will recommend a procedure or referral to a... Read More »
Life insurance companies are always looking for a reason to deny claims or limit payouts. Do not be fooled, however: There are very specific reasons for which an insurance provider can deny a claim, and the reasons available depend in part on how long the policy has been in place. If your life insurance... Read More »
Insurance companies will often use every means available to them to delay, limit, or avoid a payout entirely on a policy, regardless of the validity of the claim. They might stall their investigation, issue unreasonable document requests, offer you a lowball settlement, or drag their feet in issuing a payout. When your insurance company... Read More »
The law firm of Gianelli & Morris has filed individual and class action complaints against UnitedHealthcare of California alleging the wrongful denial of coverage for the Coflex medical device to treat the plaintiffs’ spinal stenosis and back pain. On November 4, 2020, the California insurance law firm Gianelli & Morris filed individual and class... Read More »
Sometimes it seems that health insurance companies care first and foremost about their bottom-line and are always on the lookout for any reason to deny a claim for coverage. One of the more common reasons for denial of a specific claim is “lack of medical necessity.” Continue reading to learn how to contest a... Read More »
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