Once a benefit claim is delayed or denied, actually getting your benefit can seem unattainable. Claims administrators can put endless obstacles in your path. An experienced ERISA attorney can help overcome those barriers. But unless timely steps are taken to pursue a claim, it may remain permanently denied. ERISA can cover benefit claims for disability, health, life insurance, and a wide variety of other benefits provided by ERISA plans.
What does it take to be covered involves eligibility for benefit coverage. When coverage ends can involve a continuation of coverage claims. Some of the familiar roles are plan sponsor, plan administrator, claims administrator, beneficiary, participant, and alternate payee. Sometimes the beneficiary gets bills from doctors or hospitals for services that have not been paid.
Sometimes insurers later decide they mistakenly paid a claim and back charge the providers. In short, health benefit claim denials can fall on the shoulders of people who counted on coverage but are least able to deal with them.
What does it take to be covered involves eligibility for benefit coverage. When coverage ends can involve a continuation of coverage claims. Some of the familiar roles are plan sponsor, plan administrator, claims administrator, beneficiary, participant, and alternate payee. Sometimes the beneficiary gets bills from doctors or hospitals for services that have not been paid.
Sometimes insurers later decide they mistakenly paid a claim and back charge the providers. In short, health benefit claim denials can fall on the shoulders of people who counted on coverage but are least able to deal with them.
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