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.