How to Deal with Underpays or Delays by Your Health Insurer
Insurance Bad Faith Attorney Scott Glovsky
You may be like most people who faithfully pay their health insurance premiums every single month, under the belief that when you need your insurance company to step up and pay for a treatment, procedure, or prescription drug, it will do so. Then, when you receive a denial of your claim, or your insurance company delays or underpays your claim, it can feel like a betrayal of your trust. Perhaps you received a health insurance out of network denial, or insurance denied your claim for another reason. It can be challenging to find yourself facing an illness requiring a specific medical test or prescription, and you are unsure how to fight an insurance denial.
This is a time in your life when you desperately need a strong advocate in your corner—one who understands the system and knows the best way to help you get what you need. Attorney Scott Glovsky is that advocate for Californians. At the Law Offices of Scott Glovsky, we fight aggressively on your behalf, with every ounce of experience, skill, and knowledge we possess. We will work to require your insurance company to rethink the current process of reviewing medically necessary treatment requests, using every legal measure to compel your insurance company to do the right thing—for you and your family. Attorney Scott Glovsky never backs down from a fight. He has successfully taken on insurance giants like United Healthcare, Aetna, Kaiser, Health Net, Blue Shield of California, and Anthem Blue Cross.
About Regal Medical Group
Regal Medical Group is one of Southern California’s largest physician-led medical groups, with more than three thousand primary care physicians and more than 10,000 specialists. In 2019, Regal Medical Group expanded its healthcare services to San Diego. Before this expansion, Regal Medical Group was already the healthcare network for thousands throughout Riverside, Ventura, San Bernardino, Orange, and Los Angeles Counties. Regal is an affiliate of Heritage Provider Network, a California healthcare network for more than four decades.
When Regal Medical Group Denies Your Claim, or Delays or Underpays Your Claim
Over the years, healthcare insurers have thought up virtually every “reason” for denying a legitimate claim. When you signed up for Regal Medical Group, you assumed it would do what it says—be there when you are sick or injured. Yet when you suffer claim delays, denials, or underpays, it is a far cry from your insurance company “being there” for you. When you face any of these issues with Regal Medical Group, you have the right to appeal any adverse decision. At the Law Offices of Scott Glovsky, we will comprehensively review your current healthcare insurance policy, as well as the denial, then will pursue all legal avenues in pursuit of justice on your behalf.
Common Reasons for a Regal Medical Group Claim Denial
In some cases, there may be legitimate reasons Regal Medical Group denies a claim. There could have been necessary information left out, or you may have chosen an out-of-network provider. Maybe the company deemed your treatment or test “not medically necessary,” or you may have failed to obtain pre-authorization for a procedure or test. While sometimes denials like these could be valid, there are certain instances where you could appeal a health insurance out-of-network denial, a determination of “not medically necessary,” or you can explain why you failed to obtain pre-authorization.
If you are missing necessary information, that information can be provided, and your claim re-submitted. Regal Medical Group could also deem a procedure you require “investigational” and refuse to pay. In some cases, even such routine procedures as MRIs, X-rays, and CT scans have been deemed “investigational.” A bad-faith lawsuit can be filed by the Law Offices of Scott Glovsky against Regal Medical Group when your healthcare claim is denied with no justification.
Should You File an Appeal or Grievance Against Regal Medical Group?
Of course, whether or not you should file an appeal or a grievance against Regal Medical Group will depend on the facts of your particular claim. If, however, you were denied a service, test, procedure, or prescription medication that is necessary for your health, then filing an appeal or grievance is your first line of defense. It can sometimes be challenging to navigate the appeal process, which is why Attorney Scott Glovsky wants to help you and other Californians in the same situation. Regal Medical Group—like many other healthcare insurance groups, may engage in health insurance delays, underpays, or denials and deserves to be called on such practices.
News Related to Regal Medical Group
Regal Medical Group has had three Better Business Bureau claims filed over recent years. One of those was regarding billing, while two were regarding services. One consumer claimed Regal Medical Group denied a legitimate procedure and made it virtually impossible for the patient to obtain rehabilitative therapies. The only approved physical therapy office was booked entirely; it took longer than a month to get a single appointment.
How the Law Offices of Scott Glovsky Can Help with Regal Medical Group Delays, Underpays, or Denials
If you or a loved one has had your valid medical claim denied, or you have been the victim of delays, underpays, or health insurance out-of-network denials, we want to help you. At the Law Offices of Scott Glovsky, we fully understand how frustrating it can be to have a valid medical claim denied. We will go above and beyond to help you through this challenging time, not only filing an appeal or grievance but ensuring you get the medical treatments you need and deserve.
We also understand that you simply don’t feel like fighting your insurance company when you are ill. We will do the fighting for you. Attorney Scott Glovsky will file an initial appeal with Regal Medical Group, create a case before the California Review Board, or argue your case in court. Contact the Law Offices of Scott Glovsky today—we have the experience, knowledge, and skills to go up against Regal Medical Group successfully.
