What We Do

We are a boutique national law firm servicing businesses and individuals who have an insurance company dispute or are involved in a complex business dispute. In insurance matters, we never represent insurance companies: we always represent medical practices, businesses, or individuals who need help in fighting against insurance companies. We handle these matters at every stage, including counseling, litigation, settlement, mediation, trials, and appeals.

Our health insurance practice is national in scope. We represent medical providers and pharmacies in financial disputes with health insurance companies, health plan administrators, and pharmacy benefits managers (PBMs). In these disputes, we use the federal ERISA law, the patients’ ERISA rights, as well as many other State’s laws.  These various tools are used to obtain payment on denied claims and stop unlawful industry practices, such as attempts by insurers, health plan administrators, or PBMs seeking to re-open paid claims, reverse the prior decisions, and claw back funds from medical providers or pharmacies. Our firm’s 40 years of experience with ERISA and how we use it in the health insurance arena is what sets us apart from other firms.

In other areas of insurance coverage, we represent businesses and professionals who have had claims for coverage denied by their insurer. We handle disputes and litigation in such areas as Professional Liability, Directors & Officers Liability, Errors & Omissions, Employment Practices Liability, Bad Faith (both First Party and Third Party), Fidelity Bonds, Commercial General Liability, Insurance Broker Liability, Property & Casualty, and Business Interruption. The firm’s insurance coverage clientele has included companies and professional firms in a variety of industries, such as finance, real estate, hospitality, education, and law. Our 90 years of combined insurance coverage experience and string of successes make our firm a great fit for many insurance coverage disputes.

In the field of complex and business dispute litigation, our firm has over 90 years of combined experience in both state and federal courts. We have a successful track record of obtaining settlements and winning cases of various kinds and complexity, at all stages of a dispute, ranging from negotiating settlements, conducting mediations, litigation, trials and appeals. For more information on this practice area, see the Complex | Business Litigation page of this site.

 

Health Insurance | ERISA

In the complex and fast changing world of health plans and health insurance, one things remains the same: the vast majority of health plans and health insurance policies are sponsored by employers or groups, which makes them governed by ERISA, the Employee Retirement Security Income Act of 1974.

Insurance Claims & Litigation

Insurance comes in all shapes and sizes. Business lines cover all types of risks that a business can face: a lawsuit against the company or its owners, a fire, property damage, or any number of unforeseen events. Personal lines cover risks to homes, liability for lawsuits, and all types of claims that a person can file or pursue under a privately purchased insurance policy.

Complex | Business Litigation

When a complex business dispute cannot be resolved and a legal action is commenced, a law firm handling the case needs to have several core assets to provide a client with the best possible representation.

Trial Victory in Civil Rico Case

There was a lot at stake: the Plaintiffs were seeking a multi-million dollar award, that could have been tripled under the Civil RICO law, and the Federal Trade Commission was pursuing our client…

Medical Economics

Medical Economics, a national magazine for medical providers, sought input from Richard Quadrino as to providers’ needs in challenging claims denials…

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