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Gianelli & Morris A Law Corporation

Category Archives: 2017

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

By Gianelli & Morris |

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 safe and effective for their intended use, making them investigational or experimental and not a covered medical benefit. Whether a particular treatment is investigational or experimental… Read More »

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

By Gianelli & Morris |

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 surgery as “unproven” despite the fact that the surgery is safe and effective. Hill v. UnitedHealthcare Insurance Company, Case… Read More »

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LaRue V. Accountable Health Care, IPA

By Gianelli & Morris |

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 and necessary medical services, resulting in a permanent and disabling injury to his hand. Mr. LaRue’s… Read More »

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