Quadrino Law Group | Health Insurance | ERISA Results
Federal Appeals Court Rules that Express Scripts is an ERISA Claims Administrator That Must Follow the ERISA Statute and its Claims Regualtions
Federal Court Rules That Attempts to Reverse Prior Claim Decisions Through Post Payment Audits May Be Unlawful Under ERISA
ERISA Used As a Tool to Obtain The Release of $11 Million of Hijacked Funds By A Pharmacy Benefits Administrator
Major Insurer Settles for “Walk-Away” in Case Challenging Claw Back of Claims Previously Paid to Medical Providers
A major health insurer notified several medical practices that it changed its mind on a series of claims that it previously paid for blood tests for various patients. The insurer alleged that the tests were experimental or investigational and that the medical...
QLG Stops Retaliation Regarding Provider’s In-Network Status And Obtains Complete “Walk-Away” On Recoupment Claim
QLG Persuades Major Health Insurer to Drop a $3.6 Million Claim Against A Radiology Firm For a Refund On Closed Claims
A major group health insurer denied all of the health insurance claims of the employees of a company that had purchased a large group health insurance policy. The employees were all clearly covered under the group policy. The reason for the claim denials, according to...
Allegations of $2 Million of Alleged “Fraud” Debunked and Case Against Medical Practice Succesfully Settled
A nationally known health insurer claimed that it could go back in time and seek a refund of over $2 million that it paid to a medical practice for routine treatments that had been approved and paid over a course of several years. Quadrino Law Group was hired to...