Appeals and Lititgation

Contractual payments by HMO’s, Workers Compensation Carriers and the like are often short paid or not paid to the exact language of the contract. Unless a knowledgeable person reviews each of these claims, hundreds of thousands of dollars can be left on the table and wind up barred from recovery by the statute.

Proper appeals and follow up are essential and should be conducted by someone familiar with contract language and appeals rights. Often this process must be followed up by attorneys familiar with the litigation and arbitration process in order to maximize recovery—all available through MCA’s insurance recovery program.