BMI-Healthplans

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APPEALS / ARBITRATION / MEDIATION

Administrative & Medical

The firm specializes in resolving disputes on contracts or plan language, as well as various medical issues for payers, providers and employees. Various levels of review can be provided depending on the request. Medical appeals may be requested by the patient in accordance with their plan document and reviews are performed by a physician who has had no previous involvement in the case undergoing review. Written letters or responses are coordinated with a professional administrator who specializes in dispute resolution and communications.

Arbitration & Mediation

Professional mediation and arbitration services are available, certified by the National Health Lawyers Associations, as well as board certified physicians to conduct hearings between the payer and the consumers on health related issues.