Feb 06, 2012
Case Results
DISCLAIMER: Please note that every case is different and these verdicts and settlements, while accurate, do not represent what we may obtain for you in your case.
Resolving Disputes Involving Managed Care Contracts
The Firm has litigated, arbitrated or mediated a number of disputes, usually involving managed care contracts, between healthcare facilities and large insurers or other payors of healthcare benefits. These cases often involve hundreds of separate claims and millions of dollars. Generally in these situations the insurer or payor of benefits has systematically denied claims or reduced payments based on improper interpretations of the managed care contract, persistent processing errors or the payor's failure to adjust its claims processing systems and software to reflect the terms of the managed care contract. In our experience, it is not uncommon to find dozens of different types of errors in processing of claims under managed care contracts by payors. The Firm has had great success in resolving these disputes to the satisfaction of the healthcare provider.
Awarded: Managed Care Contracts