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Health Insurance Claims

Health Insurance Claims Attorney

Top-Rated Health Insurance Claims Lawyers Serving Communities Throughout Northern California

The cost of health care has risen dramatically in recent years. According to data provided by the National Conference of State Legislatures (NCSL), health care costs have consistently risen faster than the rate of inflation over the last decade.  While costs are on the rise, the big insurance companies are becoming ever more aggressive in rejecting claims.

Sadly, many people in California have their health insurance claim wrongly denied every day. At Kantor & Kantor, our dedicated Bay Area health insurance claims attorneys know how to hold the big health insurance carriers accountable. If you believe that your health insurance claim was unfairly denied or substantially underpaid in Northern California, please contact our law firm today for a free consultation.

Why are Health Insurance Claims Denied?

Health insurance claims are denied for a wide range of different reasons. To successfully appeal the denial of your claim, you first need to know exactly why the insurance company came to its decision. You must carefully review your official denial letter. If you did not receive such a letter, or if you are having any trouble understanding the meaning of the letter, you should speak to an experienced Northern California health insurance claims lawyer immediately. You will only have limited time to file your appeal. If you take too long to act, you may simply lose out on your ability to get your health care costs covered. Some of the most common reasons why these claims are denied are as follows:

  • The medical treatment was not ‘necessary’;
  • The medical treatment is deemed experimental;
  • Your insurance policy does not cover that type of medical care;
  • You allegedly failed to get the required ‘authorization’ for the treatment;
  • You used the wrong provider;
  • You already reached your policy limits;
  • A mistake was made during the claims process; and
  • The insurance company acted in bad faith.

It is important to remember that your insurance company does not get the final word on your case. Big insurers routinely reject coverage for medical care that should have been covered under the terms of the policy. If this has happened to you, it is crucial that you consult with a Bay Area health insurance claims attorney who can help you put together the strongest possible appeal.

Contact Our Bay Area Health Insurance Claims Lawyers

At Kantor & Kantor, we have more than twenty years of experience holding the big health insurance companies accountable. If your health insurance claim was unfairly denied, please call us today at (510) 992-6130 to set up a free review of your case. From our offices in Alameda, Northridge, San Francisco, and San Jose, we represent claimants throughout Northern California.


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