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.

University of Utah Hospital v. Educators Mutual

In this case a health care provider obtained preauthorization from a health insurer that the expenses related to placement of bilateral deep brain stimulators to control seizure activity would be covered. The provider performed the procedure but when the claim was submitted the insurer denied payment. The insurer argued that the procedure was not covered and that, in any event, the denial was not appealed within the time frames required by the insurance policy. The provider and the patient retained the Firm to represent their interests. The arbitrator ruled against the insurer on both arguments. You can read the arbitration award here or by clicking the link in the Library section of the website.

Awarded: $335,000 arbitration award