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Portland Health Insurance Denial Lawyers

Call Us After a Denied Health Insurance Claim

Health insurance companies like to present themselves as friendly neighbors who only care about doing the right thing for their policyholders. If you have ever filed a health insurance claim, though, then you know that the truth can be quite the opposite. Denied health insurance claims are becoming increasingly common, and many of those denials do not adhere to the terms and conditions described in the policies that they sell.

At Kantor & Kantor, LLP in Portland, you can find all the legal help you need to deal with a stubborn health insurance company that denied your claim. We can review the denial letter to see if your insurer has any valid grounds to deny you the benefits. If they do not, then we can work with you to prepare a challenge or appeal.

We have experience taking on all sorts of health insurance companies, including:

  • Aetna
  • Anthem Blue Cross
  • Blue Shield
  • Health Net
  • Kaiser
  • Met Life

Major insurance companies scare away the average law firm with little experience with insurance claims. We have been focused on insurance claim denials for more than 20 years, though, so there is nothing the opposition can do to intimidate us.

Get a trusted team of lawyers in your corner. Call (877) 783-8686 now.

Material Misrepresentation in Health Insurance Claims

Health insurance companies do have many valid reasons to deny a claim. The problem is when they choose a reason that does not apply to the situation, or when they do not give you a reason at all. One of the more commonly exploited “reasons” to deny a claim is called material misrepresentation.

When you fill out an insurance application or renewal form and include incorrect or inaccurate information, it is known as material misrepresentation. Technically, any misinformation provided is a material misrepresentation. Although, a health insurance claim should not be denied for a material misrepresentation unless that misinformation is significant enough to alter the validity or the outcome of a claim.

Four examples of common material misrepresentation not mentioning:

  • Cigarette, vape, or tobacco use
  • Illegal narcotic use or addiction
  • Preexisting medical conditions like heart disease
  • Naturally dangerous hobbies like skydiving

The prior examples would probably give an insurance company a valid reason to deny a claim. Something like listing the wrong eye color does not. If your health insurance claim was denied due to material misrepresentation, then let our insurers dig into the details and find out why. If we can uncover that the alleged material misrepresentation was something completely harmless, then we will be ready to challenge the denial outright.

Do Not Let a Claim Denial Go Unanswered

You can never be sure when an insurance company will intentionally deny your claim without a valid reason. If your health insurance claim is denied, then you should always speak to an attorney and explore your legal options. Otherwise, you will be placing all of your healthcare bills directly on your own shoulders when there should be an insurance company backing you up.

You might have already filed an appeal that was rejected by your insurance company. In this situation, you are still not out of options. Our Portland health insurance claim attorneys would be happy to look into the denial for you and see what you should do next.

What might we need to do to seek health insurance benefits for you?

  • Challenge a health insurance provider after you received out-of-network medical care
  • Review your policy for one-sided clauses that put you at an unfair disadvantage
  • Dispute material misrepresentation denials based on insignificant mistakes

We want you to be able to rest comfortably after receiving necessary medical care without needing to worry about if your bills are covered. Let us stand up for you after a claim denial, so we can turn that ideal situation into a reality.

For a free consultation, call (877) 783-8686 at your next opportunity.

What Sets Us Apart?

  • Free Case Consultations Provided
  • 160+ Years' Collective Experience
  • Thousands Of Cases Successfully Handled
  • You Don't Pay Us Unless We Recover Your Claim
  • Selected For Inclusion In The List Of Super Lawyers®

Client Testimonials

  • Finding, and working with your team has been such a blessing to me.

    “Thanks again for all your help. Finding, and working with your team has been such a blessing to me. Deepest regards.”

    M.

  • You have restored my faith in the goodness of people!

    “Thank you Glenn for accepting my case. I had all but given up on finding an attorney that was willing to take this case, and although you may not remember, I enclosed a note to you when I sent my [ins. co.] file asking you to please help me. You did that sir, and I can't thank you enough. My thanks to you Corinne for pursuing my case with vigor. I don't know much about how these legal things are handled, but I could tell by your communications with me, making sure I was always informed, that you were on top of it all. Also, you were ALWAYS available to me to answer questions, and your compassion for me and my situation is so much appreciated. I have had limited exposure to the legal system and attorneys, but I have never been able to just call and talk to them, as I could with you. I always had to speak with someone in the office that couldn't really answer my questions. My sincerest thanks and best wishes for you both You have restored my faith in the goodness of people!”

    Dick H.

  • Your compassion for me and my situation is very much appreciated.

    “My thanks to you for pursuing my case with vigor. I don't know much about how these legal things are handled, but I could tell by your communications with me, making sure I was always informed, that you were on top of it all. Also, you were ALWAYS available to me to answer questions, and your compassion for me and my situation is very much appreciated. I have had limited exposure to the legal system and attorneys, but I have never been able to just call and talk to them, as I could with you. I always had to speak with someone in the office that couldn't really answer my questions.”

    D.B.

  • First of all, I want to express my extreme gratitude for probably saving my daughter's life.

    “First of all, I want to express my extreme gratitude for probably saving my daughter's life. By staying in treatment, the improvement is remarkable. She had been in eating disorder facilities many times, and treatment had been interrupted repeatedly by Anthem Blue Cross's denying benefits. Many of the health professionals were telling me that maybe my daughter was a hopeless case. You both gave me hope. She is still struggling with some residual issues around eating, but the change in her attitude, her ability to assess her own recovery, and her wish to live instead of to die, is evident in her life. Now she is back in school, after years of having her education disrupted by the eating disorder. She goes places with friends, and even goes out to restaurants for fun! This year marked the first holiday season for many years, when she had not been in a treatment facility. Other people gave up and you didn't. I can't thank you enough. You took the action that was necessary to keep my daughter in treatment long enough for it to work.”

    Anonymous

  • There are no words that can express the feelings of gratitude and relief I have that you helped us.

    “I wanted to thank you again for all of your help. My daughter would not be in treatment without your help. I can never thank you enough, there are no words that can express the feelings of gratitude and relief I have that you helped us, and I believe saved my little girl. Taking her back to Timberline Knolls was very difficult in many ways, I wish UBH could know the damage they have done to her by having her go in and out like this. When she went into Timberline Knolls the first time she was not happy to go exactly, no one wants to go into treatment, but she was open to going in and ready, for the first time, to really look at her issues and work hard to get better. When she had to leave Timberline she expressed that she wished she could have stayed because she felt like she was finally at a place where she was getting better and, though it was hard, she was really opening up and dealing with her issues for the first time, something she has had a hard time doing. I just wanted you to know that she was going down to a really bad place and without you I don't know what would have happened except that she would not be at Timberline Knolls right now getting better and I thought you should know this. With unending gratitude.”

    R.