When it comes to natural disasters, you might hear the term "act of God" in the insurance exclusions. Damages from these events are often unforeseeable, and your standard homeowners policy might not cover them. Unfortunately, some insurance companies try to claim acts of God exclusions to avoid paying out on policy claims. We have handled numerous insurance policy denials for reasons like these at the Law Office of Matthew L. Sharp over the years. Do insurance companies pay for acts of God? We'll provide you with an answer [...]

If you’ve ever had to navigate a health insurance claim, you know they can be complex. Disputes can arise when there are discrepancies between what a policyholder believes should be covered and what their insurance provider has approved. But how long are you able to dispute health insurance claims? Let's take a look at the timelines and processes involved in disputing claims. About Health Insurance Claims Before trying to navigate the timelines of a dispute, we need to understand the basics of health insurance claims. When you receive [...]

Insurance is a cornerstone of modern life, offering protection and peace of mind in times of uncertainty. Whether it's health, auto, or property insurance, policyholders expect their insurance companies to act in good faith, promptly processing claims and providing coverage as promised. However, instances of insurance companies acting in bad faith are not uncommon. In this blog post, we delve into the reasons why insurance companies act in bad faith, undermining the trust and confidence of their customers. Understanding Bad Faith Before exploring the motivations behind the actions [...]

If you deal with an insurance company intentionally stalling a claims investigation or falsifying reasons for a denial, it could be more than bad faith insurance. Could it be a breach of contract? While both situations involve some type of breach in terms or contracts, they are distinctive from each other. We have handled many Reno insurance bad faith claims in our law office. Let's help clear up any confusion between breaches of contract and bad faith insurance. What Is a Breach of Contract? In the world of [...]

In the intricate realm of health care management, few processes provoke as much frustration and controversy as prior authorization (PA). It’s a system that the American Medical Association (AMA) refers to as "costly, inefficient and responsible for patient care delays,” referring to the complexities of prior authorization as “a nightmare.” Let’s delve into the multifaceted issues, including the dangers of prior authorization, shedding light on its detrimental impacts on patients, medical providers, and the health care system as a whole. What is Prior Authorization? Also known as pre-authorization [...]

After an accident, storm, or other disaster, you will want to take care of any damage to your home or vehicle. One of the first steps is to start the claims process with your insurance company by filing a proof of loss form. This document is a critical step in indicating your total losses to the insurance company. While it might seem straightforward, many people make errors on these documents. And that could lead to reimbursement delays or even a claim denial. Here are the top mistakes people [...]

Whether it's to cover the costs of a car accident, a health issue, or damage to our property, insurance is meant to provide a safety net. Insurance isn’t cheap, and it’s reasonable to expect it to be there when we need it, right? But what happens when your insurance company seems to be turning a blind eye to your needs? Dealing with an unresponsive insurance company can be frustrating, but don’t worry – there are steps you can take to ensure your concerns are heard and addressed. Understand [...]

You expect your insurance policy to cover all the damages when you have been involved in an accident. Many Nevada drivers have the option to purchase additional uninsured/underinsured coverage. If another driver is at fault and has limited or no insurance, it can pay for your losses. But does this coverage pay for all damages? There are a few points to know before you make a claim. What Is Uninsured Motorist Coverage in Nevada? Uninsured coverage reimburses you for any losses or damages suffered due to an accident [...]

Medical costs seem like they're always increasing. This means some individuals needing medical care face a financial barrier when attempting to get it. Many healthcare providers may even seem hesitant to schedule you for an appointment out of concern you won't be able to afford the out-of-pocket costs, including the initial and follow-up visits, blood work, imaging, medications, and anything else you might need without it. This leads many people to seek out coverage, looking for assurance they can receive the medical care they need. But with marketplace [...]