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Why Are Health Insurance Claim Denial Rates Kept Private?

Published on July 7, 2023, by Law Office of Matthew L. Sharp

Insurance Bad Faith

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…)
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How to Sue Your Medical Insurance Company for Bad Faith

Published on November 29, 2022, by Matthew Sharp

Insurance 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 [...]
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What to Do if Your Health Insurance Denies a Claim

Published on November 22, 2022, by Matthew Sharp

Health Care Litigation

Knowing what to do if your health insurance denies a claim can increase your chances of getting the decision overturned. You have a legal right to appeal the denial decision through either an internal or external appeal.  An internal appeal involves requesting your health insurance company to take a second look at your claim and reconsider its decision. An external appeal involves asking an independent third party to review your claim and decide whether your insurer should pay the claim.  A bad faith insurance lawyer can discuss reasons [...]
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Lawsuit Against L’Oreal: Do Chemical Hair Straighteners Cause Cancer?

Published on November 15, 2022, by Matthew Sharp

Product Liability

People who frequently use chemical hair straightening products and have developed cancer may want to know if chemical hair straighteners cause cancer. Various medical studies show that some hair straighteners have chemicals that expose women to higher risks of developing uterine cancer. Although a recent lawsuit against L’Oreal had put the company’s products in the spotlight, products manufactured by other cosmetic companies may raise users’ risk of developing cancer as well. A recent study conducted by the National Institutes of Health (NIH) found that women who regularly used [...]
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Can a Closed Insurance Claim Be Reopened?

Published on October 28, 2022, by Matthew Sharp

Insurance Bad Faith

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 [...]
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What Is the Average Settlement For Traumatic Brain Injury?

Published on October 14, 2022, by Matthew Sharp

Personal Injury

The average settlement for traumatic brain injury will depend on various factors, such as the type of accident and the long-term effects of the injury on your life. Injury to the brain caused by trauma is a serious and life-threatening injury. A TBI is one of the most dangerous wounds that accident victims can receive. In addition to having a detrimental impact on a person’s lifestyle, the medical expenses incurred while receiving treatment might put someone in financial trouble. Fortunately, a TBI victim can obtain monetary damages with [...]
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How Disability Insurance Companies Lie to Deny Claims

Published on October 7, 2022, by Matthew Sharp

Insurance Bad Faith, Insurance Bad Faith Disputes

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 [...]
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When Insurers Deny Coverage for Necessary Medical Treatment

Published on September 29, 2022, by Matthew Sharp

Insurance Bad Faith

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 [...]
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How A Lawyer Can Help Solve An Insurance Dispute

Published on September 22, 2022, by Matthew Sharp

Insurance Bad Faith Disputes

Understanding how a lawyer can help solve an insurance dispute is beneficial in helping you recover the benefits you need and deserve. Sometimes, insurance companies appear to be purposefully dragging out the claims process or oddly unwilling to agree with you.  Attorneys who specialize in insurance often make these processes more efficient. They are also useful in complicated claims, cases of unclear fault, and situations where you suffered huge losses. How a Lawyer Can Help Solve an Insurance Dispute Some of the leading reasons people hire lawyers for [...]
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How to Prepare for an Insurance Bad Faith Claim

Published on August 31, 2022, by Matthew Sharp

Blog, Insurance Bad Faith

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 [...]
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