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Law Offices of Scott Glovsky

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OUR OFFICES:
  • Claremont
    • 343 Harvard Avenue
      Claremont, CA 91711Get Directions
    • Call: (909) 296-7700
  • Pasadena
    • 299 N. Euclid Ave.
      Second Floor
      Pasadena, CA 91101
      Get Directions
    • Call: (626) 243-5598

(626) 243-5598

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        • Health Insurance Denials
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          • We Fight All Health Insurance Companies, Including:
            • Aetna Denial
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            • Cigna Denial
            • Health Net Denial
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            • UnitedHealthcare Denial
        • Medications
          • Prescription Denial
          • Gene Therapy
          • Cancer Treatment
            • Proton Radiation Therapy
          • New Cancer Drugs
          • Expensive Drugs
          • Biologic Drugs
          • Cosentyx
          • Dupixent
          • Enbrel
          • Entyvio
          • Euflexxa
          • Harvoni
          • Humira
          • Intravenous Immunoglobulin (IVIG)
          • Ketamine
          • Leqembi™
          • Monovisc
          • Orthovisc
          • POLIVY
          • Radicava
          • Remicade
          • Synvisc
          • Spinraza
          • SpaceOAR Hydrogel
          • Stelara
          • Xeljanz
          • Xifaxan
          • Zolgensma
        • Injuries & Surgeries
          • Spinal Cord Injury
          • Brain Injury
          • Surgery
          • Back Surgery
          • Ablation Surgery
          • Prosthetic Limb
          • Respite Care
          • Pain Treatment
          • Partial Hospitalization
          • Magnetic Resonance Imaging (MRI)
          • Radiofrequency Ablation (RFA)
        • Health Conditions
          • ALS
          • Alzheimer’s Disease and Dementia
          • Autism
          • Autoimmune Disorders
            • Ankylosing Spondylitis
            • Crohn's Disease
            • Fibromyalgia
            • Multiple Sclerosis
            • Lupus
          • Cancer
          • Cerebral Palsy
          • COVID-19
          • Counseling Insurance Denial
          • Diabetes Treatment Insurance Denial
          • Eating Disorder
          • Genomic Testing Insurance Denial
          • Heart Conditions
          • Hydrocephalus
          • Intensive Outpatient Program Insurance Denial
          • Mental Health
          • Migraine Treatment Insurance Denial
          • Osteoarthritis Insurance Denial
          • Parkinson's Disease
          • Postural Orthostatic Tachycardia Syndrome
          • Residential Treatment Center (RTC)
          • Rheumatoid Arthritis
          • Skin Treatment
          • Spinal Muscular Atrophy
          • Substance Use Disorders & Addiction
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        • Personal Injury
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            • Bicycle Accidents
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  • Home
  • About
    • About Our Firm
    • Attorneys
    • How Our Firm Has Changed Lives
    • How We Operate
  • Practice Areas
        • Health Insurance Denials
          • Insurance Bad Faith
          • Health Insurance Claim Denials
          • Medical Necessity Denials
          • Experimental/Investigational Denials
          • Out-of-Network Denials
          • Insurance Policy Rescission
          • Health Insurance Denials Public Employees
          • We Fight All Health Insurance Companies, Including:
            • Aetna Denial
            • Anthem Blue Cross Denial
            • Blue Shield of California Denial
            • Cigna Denial
            • Health Net Denial
            • Kaiser Permanente Denial
            • OSCAR Health Plan Denial
            • Magellan Healthcare Denial
            • Molina Healthcare Denial
            • Regal Medical Group Denial
            • UnitedHealthcare Denial
        • Medications
          • Prescription Denial
          • Gene Therapy
          • Cancer Treatment
            • Proton Radiation Therapy
          • New Cancer Drugs
          • Expensive Drugs
          • Biologic Drugs
          • Cosentyx
          • Dupixent
          • Enbrel
          • Entyvio
          • Euflexxa
          • Harvoni
          • Humira
          • Intravenous Immunoglobulin (IVIG)
          • Ketamine
          • Leqembi™
          • Monovisc
          • Orthovisc
          • POLIVY
          • Radicava
          • Remicade
          • Synvisc
          • Spinraza
          • SpaceOAR Hydrogel
          • Stelara
          • Xeljanz
          • Xifaxan
          • Zolgensma
        • Injuries & Surgeries
          • Spinal Cord Injury
          • Brain Injury
          • Surgery
          • Back Surgery
          • Ablation Surgery
          • Prosthetic Limb
          • Respite Care
          • Pain Treatment
          • Partial Hospitalization
          • Magnetic Resonance Imaging (MRI)
          • Radiofrequency Ablation (RFA)
        • Health Conditions
          • ALS
          • Alzheimer’s Disease and Dementia
          • Autism
          • Autoimmune Disorders
            • Ankylosing Spondylitis
            • Crohn's Disease
            • Fibromyalgia
            • Multiple Sclerosis
            • Lupus
          • Cancer
          • Cerebral Palsy
          • COVID-19
          • Counseling Insurance Denial
          • Diabetes Treatment Insurance Denial
          • Eating Disorder
          • Genomic Testing Insurance Denial
          • Heart Conditions
          • Hydrocephalus
          • Intensive Outpatient Program Insurance Denial
          • Mental Health
          • Migraine Treatment Insurance Denial
          • Osteoarthritis Insurance Denial
          • Parkinson's Disease
          • Postural Orthostatic Tachycardia Syndrome
          • Residential Treatment Center (RTC)
          • Rheumatoid Arthritis
          • Skin Treatment
          • Spinal Muscular Atrophy
          • Substance Use Disorders & Addiction
          • Ulcerative Colitis
        • Personal Injury
          • Accidents
            • Bicycle Accidents
            • Car Accidents
            • Motorcycle Accidents
            • Truck Accidents
          • Traumatic Brain Injury
          • Catastrophic Injury
          • Burn Injury
          • Wrongful Death
          • Premise Liability
          • Slip & Fall
          • Product Liability
          • Nursing Home Abuse
          • Elder Abuse
        • Sexual Abuse
          • Types of Sexual Abuse
          • Child Sexual Abuse
          • Campus Abuse
          • Special Needs Abuse
          • Abuse at School
          • Abuse at Camp
          • Abuse by a Clergy Member
          • Abuse by Athletic Coaches
        • Business Issues
          • Employment & Business Issues
          • Broker & Agent Negligence
          • Business Contingency Litigation
          • Unfair Business Practices
          • Workplace Harassment
          • Wrongful Termination
          • Whistleblower
            • Qui-Tam
  • Results
    • Testimonials
    • Case Results
  • In The Media
  • Resources
    • Frequently Asked Questions
    • Trial Lawyer Talk Podcast
    • Fight Health Insurance Denials Book
    • Download Our eBook
    • Helpful Resources
    • Blog
    • Guides
    • Sign Up for Our Mailing List
    • Power of Resilience Scholarship
  • Contact

San Bernardino County Health Insurance Denials

Home » Los Angeles Bad Faith Insurance Lawyer » Los Angeles Health Insurance Denial Lawyer » San Bernardino County Health Insurance Denials

Page Contents:

  • San Bernardino Health Claim Denial Attorneys
  • San Bernardino County Health Insurance Companies May Unfairly Deny Claims
  • What are the Primary Reasons for San Bernardino Healthcare Denials?
  • San Bernardino County Insurance Law Attorneys

San Bernardino Health Claim Denial Attorneys

San Bernardino County is the largest county in the contiguous United States with an area of 20,105 square miles. San Bernardino County is located in the southern portion of California, and with a population of 2,035,210 as of the 2010 census, is the fifth-most populous county in California. The city of San Bernardino is the county seat of San Bernardino. While there are 24 incorporated cities and towns in San Bernardino County, the city of San Bernardino is the heartbeat of the county.

Like people across the nation, San Bernardino residents can find themselves on the denial end of a healthcare claim. Many legitimate healthcare claims are either denied outright, or payment is delayed time and time again. Attorney Scott Glovsky understands just how frustrating it can be when you have faithfully paid your healthcare premiums for months or years, only to have your legitimate claim denied. You should know that your insurance company owes specific legal responsibilities to those it insures. When the insurance company does not meet those responsibilities, it could be liable for any resulting damages.

Unlike other firms, the Law Offices of Scott Glovsky purposely takes fewer cases to be highly attentive to each client. In this fight alongside you, we listen carefully to your needs as we determine the best next step for you and your future. We will ensure you are never just a case number—we will hear you at every turn and fight for justice on your behalf.

San Bernardino County Health Insurance Companies May Unfairly Deny Claims

If you have health insurance—or other types of insurance—you should know that your insurance company owes you specific basic responsibilities. While insurers deny claims sometimes for a valid reason, they also sometimes deny simply to protect their own financial bottom line. If you have had a healthcare claim denied, you must determine the insurance company’s explanation for the denial. In some instances, a claims processor could make a mistake; there may be missing information on the claim or the information may be entered into the system incorrectly.

Make sure your claim was denied rather than rejected. A reject is when it is not processed because of incorrect information. If your claim is rejected, you do not need to appeal the decision; you only need to provide the correct or missing data. Once that is done, the claim can process. A health insurance claim denial occurs when there is a denial to pay for a specific procedure, prescription, or test. A denial can be appealed, either by you personally or by your attorney. Because the process is often complicated, it can be beneficial to have your San Bernardino County health insurance denial attorney explain the steps and handle the paperwork on your behalf.

Your appeal letter will be as matter of fact as possible and will include any information required by your insurance company. Your medical history and health problems will need to be explained, as well as why you need the test, treatment, or prescription, and why it is a medical necessity. If there are institutions that show the particular test, treatment, or prescription as part of a recognized treatment plan, your attorney includes this fact. There will be specific time limits on your appeal which are crucial to potential approval.

What are the Primary Reasons for San Bernardino Healthcare Denials?

Like most people, you have probably been paying healthcare premiums for many years. Then, when you really need your insurance company to come through for you, it denies your claim. You never have to simply accept such a denial. The most common reasons for a healthcare claim to be denied include:

  • A medical billing code error on your claim.
  • Having filed incomplete or missing information in the claim.
  • The health insurance plan failed to deem your procedure, test, or prescription medically necessary.
  • Having exceeded the coverage limits of your healthcare plan.
  • Having requested prescriptions or therapy that is not a part of your healthcare plan.
  • Having used an out-of-network provider or service.
  • Having used your health insurance out of state.
  • Having failed to have your surgical procedure pre-approved by your insurance company.
  • Your insurance company wanted to pay for a generic, rather than a name brand prescription medication.
  • Having filed a claim before the end of your waiting period provision.
  • Having received out-of-network emergency care, even though you were in no position to contact your insurer for pre-approval.
  • The Insurance agent finds your disease is too “rare” to be covered.
  • Your surgical procedure was initially pre-approved, then the insurer denied the claim after it realized how expensive the procedure was.

In other cases, insurance denies your healthcare claim simply because the medical personnel who works for the insurance company and reviews your claim was not qualified to make that decision. In other words, a general practitioner might be making a denial for an oncology procedure that he or she knew little about.

San Bernardino County Insurance Law Attorneys

If your health insurance claim is denied, you need an advocate in your corner—an attorney who will work hard on your behalf to help you get your claim approved. The Law Offices of Scott Glovsky is nationally recognized as a strong advocate for injured insurance policyholders’ rights. We will take an aggressive stance with your insurance company, ensuring your medical needs are met. We never want you to feel like fighting your health insurance company is a losing proposition. Contact the Law Offices of Scott Glovsky today for a review of your health insurance denial.

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“As a young lawyer, I am appreciative of great lawyers like yourself, who are willing to take the time to pass your knowledge and wisdom onto others.  I just finished your podcast with Greg Reeves.  I grew up with Greg’s niece, and his brother built my childhood home.  I had no idea how great of a lawyer he was until recently.  I started following him on Instagram after I graduated law school, and he is the reason I was led to your podcast a few months ago and to Gerry Spence’s book “Win Your Case”.

I hope to be able to attend the Ranch and effectively incorporate the techniques you discuss in one of the coming years. I hope you are able to keep the podcast going, and I look forward to each episode.

Thank you for sharing your gift with us.”

- J.F.B

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343 Harvard Avenue
Claremont, CA 91711
(626) 243-5598
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Copyright © 2022 Law Offices of Scott Glovsky
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The Law Offices of Scott Glovsky is a Professional Corporation. Information on this website is not intended as and is not legal advice. The information does not establish an attorney-client relationship. Case results are not a prediction or guarantee of potential case outcomes. This website is an attorney advertisement.

  • Home
  • About
    ▼
    • About Our Firm
    • Attorneys
    • How Our Firm Has Changed Lives
    • How We Operate
  • Practice Areas
    ▼
    • Health Insurance Denials
      ▼
      • Insurance Bad Faith
      • Health Insurance Claim Denials
      • Medical Necessity Denials
      • Experimental/Investigational Denials
      • Out-of-Network Denials
      • Insurance Policy Rescission
      • Health Insurance Denials Public Employees
      • We Fight All Health Insurance Companies, Including:
        ▼
        • Aetna Denial
        • Anthem Blue Cross Denial
        • Blue Shield of California Denial
        • Cigna Denial
        • Health Net Denial
        • Kaiser Permanente Denial
        • OSCAR Health Plan Denial
        • Magellan Healthcare Denial
        • Molina Healthcare Denial
        • Regal Medical Group Denial
        • UnitedHealthcare Denial
    • Medications
      ▼
      • Prescription Denial
      • Gene Therapy
      • Cancer Treatment
        ▼
        • Proton Radiation Therapy
      • New Cancer Drugs
      • Expensive Drugs
      • Biologic Drugs
      • Cosentyx
      • Dupixent
      • Enbrel
      • Entyvio
      • Euflexxa
      • Harvoni
      • Humira
      • Intravenous Immunoglobulin (IVIG)
      • Ketamine
      • Leqembi™
      • Monovisc
      • Orthovisc
      • POLIVY
      • Radicava
      • Remicade
      • Synvisc
      • Spinraza
      • SpaceOAR Hydrogel
      • Stelara
      • Xeljanz
      • Xifaxan
      • Zolgensma
    • Injuries & Surgeries
      ▼
      • Spinal Cord Injury
      • Brain Injury
      • Surgery
      • Back Surgery
      • Ablation Surgery
      • Prosthetic Limb
      • Respite Care
      • Pain Treatment
      • Partial Hospitalization
      • Magnetic Resonance Imaging (MRI)
      • Radiofrequency Ablation (RFA)
    • Health Conditions
      ▼
      • ALS
      • Alzheimer’s Disease and Dementia
      • Autism
      • Autoimmune Disorders
        ▼
        • Ankylosing Spondylitis
        • Crohn’s Disease
        • Fibromyalgia
        • Multiple Sclerosis
        • Lupus
      • Cancer
      • Cerebral Palsy
      • COVID-19
      • Counseling Insurance Denial
      • Diabetes Treatment Insurance Denial
      • Eating Disorder
      • Genomic Testing Insurance Denial
      • Heart Conditions
      • Hydrocephalus
      • Intensive Outpatient Program Insurance Denial
      • Mental Health
      • Migraine Treatment Insurance Denial
      • Osteoarthritis Insurance Denial
      • Parkinson’s Disease
      • Postural Orthostatic Tachycardia Syndrome
      • Residential Treatment Center (RTC)
      • Rheumatoid Arthritis
      • Skin Treatment
      • Spinal Muscular Atrophy
      • Substance Use Disorders & Addiction
      • Ulcerative Colitis
    • Personal Injury
      ▼
      • Accidents
        ▼
        • Bicycle Accidents
        • Car Accidents
        • Motorcycle Accidents
        • Truck Accidents
      • Traumatic Brain Injury
      • Catastrophic Injury
      • Burn Injury
      • Wrongful Death
      • Premise Liability
      • Slip & Fall
      • Product Liability
      • Nursing Home Abuse
      • Elder Abuse
    • Sexual Abuse
      ▼
      • Types of Sexual Abuse
      • Child Sexual Abuse
      • Campus Abuse
      • Special Needs Abuse
      • Abuse at School
      • Abuse at Camp
      • Abuse by a Clergy Member
      • Abuse by Athletic Coaches
    • Business Issues
      ▼
      • Employment & Business Issues
      • Broker & Agent Negligence
      • Business Contingency Litigation
      • Unfair Business Practices
      • Workplace Harassment
      • Wrongful Termination
      • Whistleblower
        ▼
        • Qui-Tam
  • Results
    ▼
    • Testimonials
    • Case Results
  • In The Media
  • Resources
    ▼
    • Frequently Asked Questions
    • Trial Lawyer Talk Podcast
    • Fight Health Insurance Denials Book
    • Download Our eBook
    • Helpful Resources
    • Blog
    • Guides
    • Sign Up for Our Mailing List
    • Power of Resilience Scholarship
  • Contact