New Case: Williams v. Anthem Blue Cross

By Scott Glovsky on November 17th, 2015 in Insurance and Healthcare Denials

This week we filed a new case on behalf of a seven-year-old boy named Bryson Williams who lives with cerebral palsy. The complaint tells the story of how Anthem Blue Cross has repeatedly and wrongfully denied Bryson coverage for medically necessary care including, but not limited to, physical therapy, occupational therapy, speech therapy, and most recently an MPS Hi-Low seating system that is necessary for Bryson to eat safely. Bryson cannot eat in a normal chair because he has very little neck control and he cannot maintain a seated position for more than a few seconds in an ordinary chair. To remedy this problem, Bryson requires a feeding chair that has secure straps for support.  But Anthem has denied Bryson’s request for this chair as part of a system implemented to deny medically necessary care without conducting thorough investigations into requests before denying coverage. Anthem denied Bryson’s claims on what they cite as a lack of a medical necessity — despite Bryson’s doctors’ determinations to the contrary. We are privileged to represent Bryson and his wonderful family.