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Health Insurance

Aizenman Law Group Fights for Policyholders Like You

Aizenman Law Group proudly offers our legal representation to health insurance claimants who have had their claims wrongfully denied by their insurance providers. Your health is on the line when you have your health insurance claim denied, so we get right to work on your case. Allow our legal professionals to review your claim, send an appeal, and take other steps on your behalf to secure the coverage you deserve.

Call (918) 215-8856 to speak with a member of our law firm right away for a free consultation.

Why Was Your Health Insurance Claim Denied?

Very rarely does an insurance company outright deny a health insurance claim without giving a reason why. Doing so would put them at an obvious risk of being accused of insurance bad faith, or the willful neglect of their obligated duties as an insurance provider. Instead, they will usually provide a direct reason for the denial, even though it might not apply.

Common reasons why health insurance claims are denied include:

  • Lapse in policy coverage: The specifics of your insurance policy can lead to a lapse in coverage, resulting in a denial. For example, certain medical procedures might be specifically excluded from your insurance policy. Or, you might have to choose medical providers within a certain network. Choosing someone from outside the network would cause your insurance to no longer apply to your medical treatments.
  • No medical necessity: Health insurance companies often like to say that a medical treatment was not medically necessary and, therefore, does not qualify for coverage. Denial can also apply if the procedure is considered to be experimental by the greater medical community. Basically, your healthcare insurance will only provide coverage for treatments that medical providers trust and for necessary reasons, nothing cosmetic.
  • No referral or approval: Some medical procedures should only be completed after a referral is received from another medical professional who sees the necessity behind it. Other procedures require approval or authorization from a reviewing medical board. Failure to receive the correct referrals and approvals could void the insurance coverage of your medical treatment.
  • Expired timelines: There are also common time limitations for both coverages and treatment allowances. Your claim could be denied if the proper paperwork was not provided to the insurance company in a timely manner. Or, receiving a covered treatment too late after it was first recommended could even become problematic for your health insurance claim.

How Our Attorneys Help with Your Denied Claim

Our Tulsa health insurance claim attorneys specialize in stepping in and taking over after a claim is denied. You obviously would not be filing and pursuing a health insurance claim if you believed it was erroneous or unjustified, so what reason did your insurance company have for denying it? We will thoroughly review your health insurance policy and their denial to get to the bottom of the situation.

After reviewing your policy and their reasons for denying your claim, we can:

  • File an appeal: This is the first step when challenging an insurance company’s claim denial. Using our extensive legal experience, we can draft an appeal letter that explains why the insurance company was wrong to deny your claim. In many cases, we can use an appeal letter and continued negotiation to reach a fair settlement amount without needing to take the case further.
  • Threaten to litigate: There are times, though, when an insurance company stands stubbornly behind its wrongful denial of a health insurance claim. When this occurs, we can threaten litigation if they do not comply and supply a settlement. At this point, the insurance company may concede to avoid the trouble of going to court.
  • Litigate: The next and final step is actually taking your case to litigation, or a trial. We are ready to fight on your behalf before the court to show how the insurance company has wronged you by denying your health insurance claim. Your case could even create case law that benefits others in similar future situations.

Talk to a professional health insurance claim denial lawyer in Tulsa about your case. Call (918) 215-8856 or contact us online now.

Our Testimonials

The Opinions that Matter Most

The best attorney that we have ever dealt with.

“Dan helped my husband and me after my husband got into a really bad wreck. Dan was always very helpful and available anytime we had a question. He is the best attorney that we have ever dealt with.”

– Kacy

Our Results

Representative Settlements

$1,000,000
Bad Faith (Wrongful Claim Denial)

Why Hire Aizenman Law Group?

We take each case seriously, and will not ask for fees or costs until we win your case.

No Fees Unless & Until We Win

We take each case seriously, and will not ask for fees or costs until we win your case.
Our firm boasts an extensive track record of successful advocacy for the injured.

Successful Verdicts & Settlements

Our firm boasts an extensive track record of successful advocacy for the injured.
No matter the size of their case, we are committed to providing clients with care and attention.

Willing to Fight for Our Clients

No matter the size of their case, we are committed to providing clients with care and attention.
We are available 24/7/365 to take your calls and offer flexible hours and scheduling.

Available & Accessible Legal Team

We are available 24/7/365 to take your calls and offer flexible hours and scheduling.
While other firms are quick to settle, we are always prepared to go to trial, if necessary.

Always Prepared to Go to Trial

While other firms are quick to settle, we are always prepared to go to trial, if necessary.
As former defense attorneys, our team possesses valuable insight into insurance company tactics.

Former Insurance Defense Attorneys

As former defense attorneys, our team possesses valuable insight into insurance company tactics.

Contact the Firm

If an insurance company has wrongfully denied or lowballed your claim, or you or a loved one have suffered injuries or a wrongful death from a serious accident, contact the Aizenman Law Group today for your Free Consultation.