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Strategies and Solutions to Maximize Out-of-Network Reimbursements, Part IV: Know Who Is Paying Your Claim?

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At face value, it seems logical that insurance companies are responsible for paying health benefit claims. But are they? Determining the entity responsible for paying claims requires an understanding of how health benefit plans are structured and … [Read more...] about Strategies and Solutions to Maximize Out-of-Network Reimbursements, Part IV: Know Who Is Paying Your Claim?

Court Denies BCBSAL Motion to Dismiss Based on Anti-Assignment Clause in Medical Reimbursement Dispute Finding Derivative Standing Exists Under ERISA

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Our client, an out-of-network orthopedics practice group, filed a lawsuit against Blue Cross Blue Shield of Alabama (BCBSAL) to dispute the medical reimbursement for a spinal surgery performed on July 12, 2016. The patient in the suit had coverage … [Read more...] about Court Denies BCBSAL Motion to Dismiss Based on Anti-Assignment Clause in Medical Reimbursement Dispute Finding Derivative Standing Exists Under ERISA

Class Action Suit Filed Against UHC for Denied Breast Reconstruction Medical Claims

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We are pleased to share news of a class-action lawsuit filed against United Healthcare (UHC), in a New Jersey federal court, concerning its ongoing denial of reimbursement for co-surgeons (CO) and assistant surgeons (AS) when performing a DIEP Flap … [Read more...] about Class Action Suit Filed Against UHC for Denied Breast Reconstruction Medical Claims

District Court of New Jersey Remands Case to State Court Declaring ERISA Preemption Does Not Apply

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In a recent decision by the District Court of New Jersey between our client, an out-of-network New Jersey based medical practice and Aetna regarding services related primarily to emergency care, the Court granted our client’s motion to remand the … [Read more...] about District Court of New Jersey Remands Case to State Court Declaring ERISA Preemption Does Not Apply

Notable Cases

Class Action v. CIGNA Corporation

Corporation et al, Case No. 3:22-cv-00769-OAW, District of Connecticut (New Haven). Date Filed: 06/10/2022.

Lawsuit v. Multiplan, Inc.

et al, Case No. 1:21-cv-02421-LLS, Southern District of New York (Foley Square). Date filed: 03/19/2021.

Class Action v. UnitedHealth Group Incorporated

Incorporated et al, Case No. 1:22-cv-10756-VEC, Southern District of New York (Foley Square). Date Filed: 12/21/2022.

Lawsuit v. Multiplan, Inc.

Inc. et al, Case No. 1:20-cv-10685-LLS, Southern District of New York (Foley Square). Date filed: 12/18/2020.

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What our clients say!

"We gave Cohen Howard a very difficult hospital claim to work on. The claim had already been handled internally, by an outside lawyer and by a collection company. When Cohen Howard received the claim, it was nearly 3 years old and we had not received any payment. Cohen Howard was able to recover an $89,000 payment from the insurance company in less than 6 months’ time for us. Great job!"

Cappy Taylor

St. Charles Surgical Hospital and Center for Restorative Breast Surgery
New Orleans, LA

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"After a decade of practice I was hoping that a firm like Cohen Howard actually existed. They represent a group with the experience, deep knowledge, and tenacity to succeed in the complex world of medical reimbursements. Within this environment they have produced excellent financial results on a substantial number of my cases. Their professionalism and communication make for an unparalleled service."

Ross Cooperman, MD

Cooperman Plastics
Livingston, NJ

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"Cohen Howard is a truly unique group who has a profound understanding in the medical insurance industry. I am very pleased with Leslie Howard and her professionalism. Her staff is also very knowledgeable, detail oriented and quick to respond to all questions that arise. I am very impressed with their consistent ability to help increase my practice's out of network claims revenue. I would highly recommend them!"

Tzvi Small, MD, FACS

Bergen Plastic Surgery
Paramus, NJ

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"Leslie Howard and her staff have helped us find revenue on our out-network-claims that we never knew existed. Fantastic job! Whatever you're doing, it's working."

David L. Abramson, MD

Plastic, Reconstructive & Cosmetic Surgery
NY and NJ

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"Cohen Howard's team of professionals have been amazing partners in increasing our out-of-network claims revenue. Their professionalism and attention to detail are remarkable. We gave them some amazingly difficult claims to work on and they were able to successfully recover funds that we had basically written off. Thank you."

Sean Bidic, MD, MFA, FAAP, FACS

American Surgical Arts
Vineland, NJ

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"I have been working with Cohen Howard for years now and they have been able to retrieve several hundreds of thousands of lost revenue. They are extremely knowledgeable in the field and I recommend them with high praise!"

Steven Priolo, MD, FACS

Atlantic Shore Surgical Associates
Brick, NJ

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