A Physician's Role In An ERISA Claim Can Be Integral To Its Success

When it comes time to submit evidence regarding an ERISA claim through an employer health insurance plan, a plan participant relies on physicians and medical professionals in Texas to present a clear picture of their needs. Insurance companies put a lot of faith in what physicians say, meaning if the whole picture is not presented accurately, a claim could be denied without the right to a trial later on.

Few understand this fact more than me, attorney Jessica Taylor. At my law firm, The Law Office of Jessica Taylor, PLLC, in San Antonio, I have successfully handled numerous ERISA cases for clients throughout Texas. I understand how important physicians are in ERISA claims, which is why I offer my assistance to medical professionals and plan participants throughout the San Antonio area.

Avoid Making Any Mistakes From The Beginning

After a plan participant files an assignment of benefits, it's time for you to file your own ERISA claim. At any given time, you may have dozens of claims to file, all of which are trying to recover benefits from insurers. It's important for you not to let the large volume of claims dissuade you from carefully considering each claim individually.

What you say in your claim is the final word. There is no trial, deposition or chance to submit a new testimony. You need to get things right the first time around, and I can help you do that.

If you want to do things right the first time around, talk to me, attorney Jessica Taylor. I'm a lawyer who can help you avoid common mistakes by helping you:

  • Thoroughly review a patient's record to fully understand their needs
  • Include information that supports your medical opinion
  • Identify loaded questions on questionnaires from insurers
  • Correctly field questions and calls from case workers and others regarding a particular patient
  • Follow the proper process for filing a claim and notifying a patient
  • Understand when and when not to pay back overcharges

A Subjective Diagnosis Can Cost A Patient Their Benefits

In ERISA cases, physicians are often asked to provide a medical opinion on conditions you can't see. Some common conditions include: fibromyalgia, arthritis, lupus, multiple sclerosis, chronic pain and mental health conditions, just to name a few. Opinions on these types of conditions are typically subjective and can mean the difference between access to benefits and a denied claim.

With help from my law firm, The Law Office of Jessica Taylor, PLLC, a subjective diagnosis doesn't have to end in a denied ERISA claim.

Get My Help Throughout The Process

Whether I'm helping you properly fill out an initial ERISA claim or handling an appeal, you can rest assured knowing things are being handled by a professional who knows will take care of things. I have nearly 20 years of experience litigating ERISA claims. I know how insurance companies operate and how to get results that count.

If you would like my help, contact my San Antonio firm today to schedule a free initial consultation. Call 210-265-6759 or contact me online to get started.