Callagy Law: Commercial Insurance Law firm Recovery for Out-of-Network Healthcare Providers

You’ve got to fight for your right to recovery

Let’s face it – most doctors have a stack of files they’ve just given up on.  These files contain thousands, perhaps, millions of dollars, that remain completely unpaid by insurance companies, with little to no explanation as to why.

Out-of-network doctors face a peculiar dilemma.  They’ve made a business decision to not engage in contracts with insurance companies, whether it be that they thought the contracts were too restrictive or perhaps they were not getting enough referrals to make the bargain favorable for them.  Whatever the case may be, in a free market, doctors have the choice to charge what they want for the specialized services they provide.  However, this does not mean that insurance companies have the right to unfairly deny proper reimbursement with no explanation. Healthcare providers need the experience of a Commercial Law firm to help them recover what is owed to them.

What is Major Medical/Commercial Insurance?   

“Major Medical Insurance” or what Callagy Law, along with Sean Callagy now refers to as Commercial Insurance or CI, is your primary healthcare insurance.  Callagy Law’s CI department handles these types of cases.

The Rights of Out-of-Network Healthcare Providers under ERISA (Employee Retirement Income Security Act)

ERISA is a federal law that sets minimum standards for health benefit plans in private industry, should an employer choose to set one up for its employees.  ERISA requires health benefit plans to regularly provide participants with information about the plan.  ERISA also gives participants or beneficiaries the right to sue for benefits and breaches of fiduciary duty. 

What Callagy Law is doing with ERISA that no other law firm does!

Callagy Law is doing what no other law firm does – Major Medical or Commercial Insurance is an area of law that few, if any, law firms venture to take on.  There are hardly any that pursue these claims on the level of Callagy Law and Sean Callagy.  Callagy Law has approximately 50 active clients on whose behalf we aggressively fight for in both Superior and Federal Court.  However, prior to filing any suit, Callagy Law works with doctor’s offices to ensure they are using the Assignment of Benefits and appeals required in order to properly pursue these ERISA claims.  

Callagy Law is a full service Commercial Insurance law firm! There have been several significant amendments to ERISA concerning health benefit plans which help out of network providers recover.  Callagy Law has the specific knowledge and fierce determination to pursue these claims and recover money from the files that are just sitting there! As a Commercial Insurance law firm it our job and pleasure to recover this money for healthcare providers.

Contact our office today for a complimentary evaluation or consultation concerning your Commercial Insurance needs by calling 201.261.1700 or email us at inquiries@callagylaw.com.