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Reduced and Denied Health Insurance Claims
News
- Mega Life Settles With MA AG...
Posted on 10/27/2009
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General
- Health Insurers' Bad UCR Rate Data on Out-of Network Claims Subject to Liability
- Do You Have Holes In Your Reimbursement Bucket? The “Public Option” May Make Those Holes Bigger
- Illegitimate UCR Rate Reductions Apply to All Types of Out-of-Network Medical Providers
- Wrong Fee Schedules and Other Underpayments on Managed Care Contracts Can Cripple Your Practice
- Auto Insurance Companies and Worker’s Compensation Insurance Companies Continue to Be Sued Over Silent PPO Discounts on Medical Claims
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Blog 
- Reduced and Denied Health Insurance Claims
- UCR Rate Problems: Health Insurers Covering Up Their Mistakes
- Silent PPOs in CA Workers Comp?
- Mega Life and Health $17M Settlement with MA AG
- Mega Life and Health Fined $20 Million for Market Conduct Issues
- Will the Silent PPO Model Law Help Medical Providers?
- All Types of Medical Providers Fall Victim To Ingenix UCR Rate Reductions
Practice Areas
News
Case Results
- Silent PPO
- Combined Silent PPO Class Action Settlements of over $30 Million for Discounting of Automobile Insurance PIP and Med Pay Claims
- P&G Class Action Settlements
Awarded: Combined Settlements over $30 Million
- Online Internet Transactions
- In re Webloyalty.Com, Inc. Marketing and Sales Practices Litigation
Awarded: $10,000,000 settlement value
- Prescription Drug Overpayments
- Charging Illegal Co-Pays for the Breast Cancer Treatment Drug Tamoxifen
Awarded: $410,000 settlement
- Credit Card Company Overcharges
- LaMontagne v. Hurley State Bank, et al., C.A. No. 97-30093-MAP (W.D. Mass. 1999)
- In Re General Electric Capital Corp. Bankruptcy Debtor Reaffirmation Agreements Litigation, MDL No. 1192 (N.D. Ill 1998)
- Lafromboise v. Greenwood Trust Company and Novus Services, Inc., C.A. No. 97-30091-MAP (W.D. Mass. 1998)
- Hurst v. Federated Department Stores, Inc., (D. Mass. 1998)(co-class counsel with one other firm)
- Kopach v. First USA Bank, C.A. No. 98 C 8238 (N.D. Ill. 1999)
- In Re: Providian Financial Corp. Credit Card Terms Litigation, MDL Docket No. 1301;
Awarded: $6,000,000 settlement
Awarded: $100,000,000 settlement
Awarded: $10,000,000 settlement
Awarded: $5,000,000 settlement
Awarded: $500,000 settlement
Awarded: $100,000,000 settlement
- ADA Access Violations
- DeMello v. Mulligan, as CJAM, DCAM and Bristol County Commissioners, C.A. 01-11730PBS (E.D. Mass.)
Awarded: $6,000,000 settlement value
- Illegal Reduction of Auto Property Damage Claims
- Rossi v. Amer.Amb. Ins. Co., C.A. No. 00 CH 15534 (Ill. Ch. Ct. Cook Cty.)
Awarded: $500,000 settlement value
- Real Estate B Breach of P&S
- Oliveira, et al v. TOUSA, C. A. 05-80495 (S.D. Fla. 2005)
Awarded: $13,000,000 approximate settlement value
Document Library
- General
- Health Insurers' Bad UCR Rate Data on Out-of Network Claims Subject to Liability
- Do You Have Holes In Your Reimbursement Bucket? The “Public Option” May Make Those Holes Bigger
- Illegitimate UCR Rate Reductions Apply to All Types of Out-of-Network Medical Providers
- Wrong Fee Schedules and Other Underpayments on Managed Care Contracts Can Cripple Your Practice
- Auto Insurance Companies and Worker’s Compensation Insurance Companies Continue to Be Sued Over Silent PPO Discounts on Medical Claims
- Systematic Rescission (Cancellation) of Health Insurance Leaves Medical Providers and Patients with Unpaid Bills
- Why Would A Health Care Provider Want To Be A Preferred Provider? It’s All About The “Steerage.”
Frequently Asked Questions
- General
- What information do you need to determine if I have a case where I can pursue maximum reimbursement from an insurance company?
- How far can we go back in trying to recoup lost receivables?
- What types of cases do you file on behalf of medical providers?
- Will you work with our attorney or medical auditor?
- How do you get paid?
- How can you represent us if we are not in Massachusetts?
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Phillips & Garcia, P.C.
13 Ventura Drive
North Dartmouth, MA 02747
Toll Free: (877) 892-5620
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Phillips & Garcia, P.C.
13 Ventura Drive
North Dartmouth, MA 02747
Toll Free: (877) 892-5620