Areas of Practice
Breach of contract
Breach of contract defense
Commercial business disputes, including consultation, litigation, arbitration, and mediation
Healthcare insurance ERISA disputes, consultation, litigation, arbitration, and mediation
Healthcare reimbursement under New York State and Federal IDR under No Surprises Act
Medical necessity denials by commercial healthcare insurers
Experimental and investigational denials by commercial healthcare insurers
Negotiation and implementation of Participating Provider Agreements, Managed Care In-Network Agreements & Ancillary Provider Agreements
Commercial healthcare fraud defense
Commercial healthcare insurance internal
investigations including insurers’ Special
Investigations Unit audits
Advice, consultation, and representation
concerning commercial healthcare audits
Consultation concerning Summary Plan
Descriptions (“SPDs”), Explanation of Benefits (EOBs”) and other plan documents
Consultation and evaluation of commercial
healthcare reimbursement and next steps
Healthcare antitrust litigation
Appeals in state and federal courts