It is your right to know who denied your insurance claim.Unfortunately, insurance companies often do not explain who is making the decision to your claim. For example, Anthem Blue Cross of California’s denial letters reference a “medical reviewer” although the letter is signed by an Anthem Medical Director. It can be unclear whether it was […]
The Court of Appeals for the Ninth Circuit has issued a published decision in Pacific Shores Hospital v. United Behavioral Health, et al., an ERISA case in which a severely anorexic 43-year old woman sought benefits under her Wells Fargo employee health benefit plan for inpatient psychiatric treatment.At her admission to Pacific Shores Hospital, the […]
Treating an eating disorder can be a delicate and multifaceted journey – for everyone involved. Treatment plans often require dedicated “teams” of professionals and experts who are well versed in crafting individualized strategies for recovery. In addition to working closely with providers, the support and encouragement from family and friends can be extremely beneficial…it takes […]
Healthcare coverage is not created equal. Depending on your type of healthcare coverage, you are entitled to certain protections under the law. Here is a primer to help you understand your type of healthcare policy or plan:Individual policiesThese are insurance policies which you buy as an individual or family. These policies are not provided through […]
Insurance benefits provided by your employer benefit plan are usually governed by the federal laws of ERISA (Employee Retirement Income Security Act). Not all plans are insured, and instead may be self-funded. But, when they are insured, your dealings will almost always be exclusively with an insurance company.Under ERISA, you are entitled to receive, upon […]
Do you have questions? We have answers. This month we decided to do something a little bit different for our newsletter. We reached out to the eating disorder community to find out the type of questions they have when seeking insurance coverage for the treatment of eating disorders. We know that this can be an […]
Challenge # 1: Understanding Your policyNavigating through your policy, or simply sifting through documents from your insurance company, can be very tedious — and even more so when you do not understand the “language.” Becoming familiar with your policy can help you understand commonly used insurance terms and strengthen your proficiency when communicating with insurance […]
Top Women Attorneys in Southern California for 2012Recognized for Excellence in Representing People Denied Insurance BenefitsNational legal rating service Super Lawyers has named Lisa Kantor and Corinne Chandler among its Top Women Lawyers in Southern California for 2012. Both lawyers were selected for their achievements representing people denied disability, long-term care, health or life insurance […]
Don’t miss Lisa Kantor’s lunch hour ethics presentation for The 12th Annual Professional Symposium for the Prevention and Treatment of Eating Disorders. You can hear Lisa speak on “Working with Insurance Companies to Obtain Coverage for Appropriate Treatment for Eating Disorder Clients”, at the UT Southwestern Medical Center in Dallas, on Friday February 17 th […]
LOS ANGELES, JANUARY 18, 2012 – Kantor & Kantor, LLP, LLP announced today that the U.S. District Court for the Central District of California ruled in favor of the firm’s client Laura Burton, deciding that California’s Mental Health Parity Act mandates that Blue Shield of California must provide benefits for residential treatment of Ms. Burton’s […]
