Health Insurance Claims

Health Insurance Claims

Hospitals and other healthcare providers often work directly with your health insurance company to submit a claim for payment. Many policyholders do not fully understand their financial responsibility under a policy.

Health insurers may deny claims, in whole or in part, for a number of reasons, including: the treatment was not “medically necessary” or was “cosmetic”; you did not obtain pre-authorization for the treatment; the insurer required additional information to process your claim; or the treatment was administered by an “out of network” provider.

You may receive an Explanation of Benefits (“EOB”) or other document stating that the health insurer is refusing to pay for some or all of your medical expenses. If you believe the health insurance company has denied your claim in error or required you to pay more than your share under the policy, contact MGW today so we can review your case.

Disability Insurance Claims

There are many different types of disability insurance policies available. Beware of disability insurance carriers that try to reduce the amount or duration of your benefits in the event of a disability. If you’re being treated unfairly by your insurance company, contact MGW today so we can review your case.

Personal Injury Insurance Claims

No matter the reason for your claim, MGW helps our clients receive fair payouts from their insurance provider for their personal injury claims. Whether you’ve sustained a serious injury from a motor vehicle accident or a slip-and-fall has affected your career, MGW has the experience to deal with insurance companies and is here to make sure you receive a fair recovery.