We spotlighted the instantly scary word “temblor” in a recent Mansell, Engel & Cole blog post. We noted in our August 23 entry that temblors -- those earthquake-defining ground shakes that are never forgotten once experienced – are “top tier events that always...
Millions Of Dollars Recovered
For Bad Faith Insurance Denials
Year: 2019
Yes, Oklahomans know a thing or two about earthquakes
"I Feel the Earth Move" is a classic Carole King-penned pop song of a generation ago. Some Oklahoma residents might have flashed back on it recently when, a couple of Sundays back, earthquake temblors announced their always-scary presence in their locale of the state....
Filing an insurance claim for hail damage to your home
You pay for homeowners' insurance, and you rightfully expect that your insurance company will pay for any damage done to your home. This is how insurance companies and policies should work, but that is not always the case. In fact, many Oklahoma homeowners actually...
A nemesis for some insureds: pharmacy benefits managers
It’s just “one more layer of bureaucracy,” says a disgruntled doctor. That physician’s discontent – arguably, even rage – points straight toward a single participant in the health care system. Namely, that is the pharmacy benefits manager. So-called PBMs were largely...
What is driving policyholder complaints against one large insurer?
“Unfortunately, far too many patients today receive care that’s not evidence-based.” So says a principal with a company that runs interference for national health insurer Blue Cross Blue Shield. Dr. Eric Gratias and his company eviCore are recipients of outsourced...
Being proactive, resolute in the wake of an insurer’s denial
When a big dog gets up close and barks, many people freeze. Some panic and run. That’s not a good idea where an insurance denial is concerned. Although the inclination of many policyholders receiving a denial letter from an insurer that has an unmistakable “this is...
What do you need to file a claim for bad faith insurance?
When you pay for insurance coverage, you expect that the insurance company will provide the coverage as agreed in your contract. However, insurance companies are more interested in their bottom lines than your well-being, and sometimes, they may refuse to pay for a...
How should policyholders approach prior authorization demands?
Among perhaps a handful of candidates marking insurance-linked subject matter that drives doctors in Oklahoma and nationally to veritable distraction, so-called “prior authorization” likely tops the list. If you’re a policyholder, you likely know what that is. And if...
Just how common, serious are Oklahoma insurance disputes?
Aggrieved Oklahoma insurance policyholders don’t live in a vacuum, of course, but they understandably have a limited picture regarding their claim disputes with insurers. That is, they have don’t command a firm grasp concerning where their claim resides on a continuum...
Disasters loom large in insurance claims, disputes
Insured parties in Oklahoma and elsewhere seldom go through the hassle of making policyholder claims for arguably trivial losses. The reasons why are obvious. There are deductibles and other expenses to contend with, as well as inevitable bureaucratic consequences to...