California HMO/PPO Denial Attorney
Many California residents have health insurance coverage in the form of a PPO or HMO. HMO stands for health maintenance organization, a form of health care plan found in the U.S. While often less expensive than traditional health insurance plans, there are certain limitations on treatments available under a HMO policy. A preferred provider organization (PPO) is a managed care organization of doctors, hospitals and other providers what work with an insurer to provide health care at reduced rates to the clients of the insurer.
An HMO or PPO may attempt to deny coverage in certain circumstances, even when they should pay if they were acting in good faith. If your insurance claim has been denied or delayed by your HMO or PPO, and you are suffering as a result, you have the right to consult an attorney. An attorney can review your situation and determine whether the HMO or PPO is acting in bad faith. If this is the case, you can take legal action in order to seek the full value of your claim.
It is an unfortunate but inevitable occurrence that a California HMO, PPO or insurance provider will deny the payment of a valid claim, will delay payment or will offer a settlement which is far below the actual value of a policyholder’s claim. In these cases, a lawyer can make all the difference for the policyholder. In some cases, simply involving a reputable lawyer will cause the HMO or PPO to take action and pay the claim. Other times, it may require bringing a lawsuit to court in order to hold the company responsible for their actions.
Contact a California Insurance Denial Lawyer
Whatever the particular circumstances of your particular HMO denial or PPO denial, attorney Mark Hiepler can help. He has the experience, the reputation and the resources to go to bat for his clients against large insurance companies, HMOs and PPOs and recover the full value of his client’s claims. His dedication and hard work have enabled him to make a difference in his clients’ lives.
If you or someone you know has had their insurance claim denied by their HMO or PPO, please feel free to contact California HMO denial attorney Mark Hiepler at (805) 988-5833 for a free initial consultation. Mr. Hiepler represents clients throughout the state of California.
Mr. Hiepler answers three hours of the most commonly asked questions regarding health insurance issues. He was chosen because of his nationally known reputation as an insurance expert to be featured on Video Jug, the world's most comprehensive internet information resource. Mr. Hiepler's philosophy is to use law suits as a last resort and regularly spends hours providing people throughout the nation with self-help remedies. Numerous people have been helped by these videos. We believe they can be useful to you and people you care about.
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