Why Are Health Insurance Claim Denial Rates Kept Private?
Your doctor wants you to receive a certain treatment, but your insurance company said “no.” And now you’ve learned that your insurer is well known for denying seemingly valid claims. If you had access to that information, you might have made a different decision when deciding on an insurance provider. So why are health insurance claim denial rates kept private? Health insurance companies choose to keep their denial rates private for a very simple reason. Their priority has always been profits over people. (more…)
How to Sue Your Medical Insurance Company for Bad Faith
You might have grounds to sue your medical insurance company for bad faith if it denies your claim without a justifiable reason or if the insurer did not adequately review your claim. The first thing to do is to review your contract to determine whether the insurer has breached it. Next, compile evidence and documentation of your claim. Also, document all your correspondence with the insurer and its reasons for denying the claim. Make a final demand before initiating a lawsuit. Then, submit a complaint to your state [...]
Can a Closed Insurance Claim Be Reopened?
If you continue to suffer connected losses after an accident-caused injury, you may wonder, “Can a closed insurance claim be reopened?” Sometimes, the injuries you suffer due to someone else’s carelessness lead to ongoing problems or additional health issues. You might anticipate continued medical bills and related losses from lost wages. Can a Closed Insurance Claim Be Reopened? Unfortunately, if you accept a settlement, you typically can’t reopen an insurance claim, which is precisely why you need a knowledgeable lawyer on your side. Too many individuals accept low [...]
How Disability Insurance Companies Lie to Deny Claims
Insurance companies may use varying tactics to deny claims or limit the payouts they must provide. After suffering a disabling injury or illness, you depend on your insurance coverage for such situations to give you the benefits you need and have paid for. If you’ve been injured, you need to understand how disability insurance companies lie to deny claims. As we all know, managing risk is how insurers make money. Do not be duped into accepting a meager settlement from your individual or group disability insurance provider or [...]
When Insurers Deny Coverage for Necessary Medical Treatment
Insurers deny coverage for necessary medical treatment for varying reasons, sometimes legitimate and other times, unethical. Insurers may also deny coverage due to a mistake. When insurance companies refuse to pay claims for valid reasons, people may lack many options for recourse. However, if your claim was denied for illegitimate reasons, or otherwise in bad faith of your agreement, you may have options to appeal or pursue the action further. What Is Medical Necessity? Medical necessity generally refers to a reasonable treatment, service, or procedure that helps someone [...]
How to Prepare for an Insurance Bad Faith Claim
You, as a policyholder, are owed certain duties by your insurance company. When your insurer fails to meet those duties, it is usually acting in bad faith. If you suffer injuries because of your insurance company’s bad faith acts, you may be entitled to compensation. Knowing how to prepare for an insurance bad faith claim can help ensure your case is successful. What Is Insurance Bad Faith? Bad faith is a term used when an insurer unreasonably refuses to pay your claim or refuses to defend and protect [...]
How to Prove Bad Faith Insurance in Workers’ Compensation
If you have had a benefit claim denied following a workplace accident in Nevada, you may find it helpful to know how to prove bad faith insurance in workers’ compensation. After your injury, you file a workers’ compensation claim with the insurance company. You expect an honest, fair, and good faith negotiation during the claim settlement process. However, the insurer resorts to unfair tactics in order to unreasonably delay or deny your legitimate workers’ compensation claim. When you believe that an insurance company is acting unethically, you’re unlikely [...]
How Do I Know If I’m a Victim of Bad Faith Insurance?
You will know you are a victim of bad faith insurance if your insurance company fails to meet its policy obligations or adhere to state laws. The bad faith insurance practices employed by your insurer will depend on whether you are pursuing a first-party or third-party claim. Generally, an insurance company acts in bad faith when it fails to investigate your claim properly, denies your claim without a justifiable reason, or tries to misinterpret policy terms or laws. If your insurance company is subjecting you to unnecessary stress [...]
What Qualities to Look for When Hiring a Bad Faith Insurance Lawyer
Knowing what qualities to look for when hiring a bad faith insurance lawyer can increase your chances of winning your claim. The best bad faith insurance lawyer will be familiar with federal and state insurance laws. The lawyer’s legal career will demonstrate experience with bad faith insurance law. The lawyer should have an excellent record of winning bad faith insurance claims and lawsuits. He or she should be a responsive communicator and transparent regarding the legal fees. The lawyer should have positive reviews and testimonials from previous clients. [...]
How to Find the Best Bad Faith Insurance Lawyer
If your insurance company wrongly denied your claim, you may be wondering how to find the best bad faith insurance lawyer. Bad faith insurance claims can be legally and factually complex matters to investigate and litigate. There are many ways you can find a top-notch bad faith insurance lawyer. Conducting an internet search is a good first step. Setting up a consultation with an attorney and preparing questions to ask him or her can help you find a good fit. Experienced and qualified representation is essential, so it’s [...]
