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Tips for Collecting Your Health Care Claim against Self-Insured Health Plan

TASA ID: 3307

Obtaining reimbursement on a health care claim is not easy today because of all the different laws and regulations and insurance plans.  I recently worked on several cases to recover claims involving a large self-insured health plan. All self-insured plans are governed by the federal ERISA law and have “trustees” to administer the Plan. Many health care providers, including surgeons, surgery centers, chiropractors, and physical therapists have had their legitimate claims denied over recent years because of alleged fraudulent claims, but legitimate claims are payable.

How to Get Evidence Admitted or Re-admitted by Use of Rule 703: The Advantages of a Life Expectancy Using Life Insurance Underwriting and Life Settlement Methods in the Legal Setting

Whitepaper

TASA ID: 2409

The investigation and use of personal attributes and personal history in assessing mortality risk is standard practice in the life insurance and life settlement industries.  Life insurers want to ensure that the premiums charged for a life insurance policy accurately reflect the mortality risk of an applicant.  Life settlement providers similarly want to ensure that the calculated life expectancy accurately reflects the mortality risk of the insured seeking to settle (sell) his/her life insurance policy.

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