The Artvoice reported today that Blue Shield California twice refused to pay $2,700 emergency room claims by Rosalinda Miran-Ramirez, concluding that it was not a “reasonable” decision for her to go to the emergency room that morning when she awoke to a shirt saturated from blood with what turned out to be a breast tumor. Only after KPIX-TV reported the story did the insurance company pay the claim. Further, it reported that the National Women’s Law Center found that the laws of eight states permit insurance companies to deny health coverage to a battered spouse (as a “pre-existing condition”) since batterers tend to be recidivists.
President Obama signs Smart Act
January 10, 2013
We at Feroleto Law often get calls from other attorneys on how to deal with insurance claims.
Over the last few years some cases became almost impossible to resolve because Medicare started seeking information and repayment if it made payments for medical care. I agree that repayment is