Health Care Disputes

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