Health insurance companies that want reimbursement for medical expenses related to a personal injury settlement or court award should always be verified before you pay the claim. The names of a health insurance company do not automatically grant that company a reimbursement.

The health plan and documents are where it is stated if the health insurance company is entitled to a reimbursement.

The plan must state that:

• It is self-funded (an employer pays out of its own funds) and qualified for ERISA
• It is entitled to a reimbursement when there is a settlement or court award
• It intends to pursue reimbursement
• Form 500 filed with the IRS to prove that it is self-funded

You also have to look closely what the request for reimbursement is about. For example: if in a car accident you suffer from a back injuries and are also seeing an allergist or an eye doctor that is unrelated to the car accident, then there is no valid claim for reimbursement for the allergy expenses. The company will make a claim for all billing for a specific period of time, but if they do have a lien, then they can only recover costs related to the accident.

Even where the health insurance reimbursement claims have been verified, there may be ways to reduce the amount. You should work with your attorney to review the medical claims asserted under a lien.

Barton Slavin

With over thirty three (33) years as a practicing attorney Barton L. Slavin, Esq. leads a staff and network of experienced attorneys that meets both corporate and personal legal needs.

Contact Barton Slavin, Esq. of Slavin & Slavin, Esqs. at (212) 233 -1010 or send an email to barton@nycattorneys.com. Consultations are free.

We work hard to make sure that all of your concerns are properly addressed and that your matter is resolved in a timely manner. Slavin & Slavin Attorneys at Law

What makes Barton L. Slavin different from other attorneys is that he has an in-depth knowledge of the medicine and an understanding of effective communication methods to present a case to the jury in the Courtroom or the Mediator in a settlement meeting.

Your case will be prepared with the guidance and advice of Hon. Joseph Slavin, who as a Trial Judge for 20 years presided over approximately 1,000 Jury Trials (Medical Malpractice, Tort, Felony Criminal Cases including Homicide and Drug Cases).

Barton L. Slavin received an AV Rating of Very High / Pre-eminent Martindale Hubbell Lawyer Rating. This is the highest ranking, which signifies that the lawyer has reached the heights of professional excellence.