Health Insurance Claim Denial Lawyer Berkeley, CA

You pay for health insurance so that you don’t have to sacrifice your financial stability to access the care you need after an injury or illness. When the insurance company says they won’t cover a procedure or medication you need to get better, it can be stressful and discouraging. The Law Office of Bennett M. Cohen will stand up for your best interests. Schedule a consultation with our Berkeley, CA health insurance claim denial lawyer to learn what your legal options are for appealing the insurer’s decision. Call now to get our team started on your case.

When To Seek Legal Guidance For An Insurance Denial

If your health insurance provider denied a claim that you believe should have been covered under your policy, contact our attorney immediately. There are several reasons why you might get a denial letter, but the most common include:

• Seeking care with an out-of-network institution or physician
• The procedure, medication, or evaluation is not medically necessary
• The claim is connected to a pre-existing condition
• You or your care provider filed the claim incorrectly or late

In situations where your claim is denied based on medical ineligibility, our lawyer will build a case to negotiate with your insurer. We may compile your medical records, seek third-party evaluations/second opinions, and leverage expert testimony to prove that you need the requested treatments. Sometimes, denials are simply an administrative error, and our lawyer can quickly revise your claim to meet your insurer’s qualifiers.

Insurance policies are filled with complicated language and confusing stipulations. Adjusters know that you have limited knowledge of the system and use that to take advantage of their customers. Our insurance lawyer knows these tactics and won’t back down until a fair outcome is achieved.

Legal Options After A Denial Letter

It can be disheartening to receive a health insurance denial letter, but it is important to know that isn’t the end of the road. It is your right to appeal the decision and fight for coverage. Our law firm takes on the responsibility of crafting your appeal letter and negotiating with your insurer. If they are unwilling to settle, our Berkeley health insurance claim denial lawyer is prepared to take your case to court and present our findings to a judge.

Unfortunately, some insurance companies participate in bad faith practices, which means they are intentionally dishonest or unfair when approving/denying claims. If our lawyer finds evidence of bad faith, such as purposeful lies, misleading language, or unreasonable delays, we may suggest pursuing litigation. Our team will represent you in this case and guide you through every step of the process so that you can secure proper compensation and prevent other people from experiencing similarly poor practices.

We Push Back Against Health Insurance Denials

At The Law Office of Bennett M. Cohen, we understand how essential access to healthcare is. Medical procedures and medication are expensive, and you need those critical services to be healthy. If you have received a denial letter regarding a health insurance claim, you don’t have to battle your insurer alone. Our Berkeley health insurance claim denial lawyer is passionate about upholding the rights of policyholders. Don’t leave your case to chance. Call now to put your claim in the hands of a seasoned professional who will fight for you. Get started with a free consultation.