There are times when the past bills are in dispute. Were the billing records submitted with the claim really for injury-related care? Were the bills submitted with the appropriate billing codes? Were the bills considered Usual, Reasonable and Customary? Medilegal, Inc. can help. We will do a detailed analysis to address these or other questions that may be a matter of contention between the two sides.
In California, the Howell decision and the Corenbaum ruling often need to be addressed as well. While the billed amount may be appropriate, the paid amounts need to be calculated. There are many cases where there are multiple payor sources, so arriving at the appropriate number can be complex. Tracy Albee has extensive experience in this regard and can assist with clearing up what was billed and what was paid.
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