Category Archives: Case Study

Case Study – Complex Coordination of Benefits Denial

By: Emily Blizzard, Esq., Associate Attorney, The Law Offices of Fotheringill & Wade, LLC

 Issue:

A Maryland hospital cancelled a request for authorization due to the belief that authorization was not required from the secondary payer. Subsequently, it was learned that the insurance company was actually the primary payer for most of the charges, causing denial of the submitted claim. Continue reading