Insurance carrier

My Insurance Carrier Refuses To Pay Any Additional Medical Expenses. What Should I Do?

Home » Blog » My Insurance Carrier Refuses To Pay Any Additional Medical Expenses. What Should I Do? St. Paul Personal Injury Attorney Marcus Gatto St. Paul personal injury attorney Marcus Gatto talks about what you should do if your insurance carrier refuses to pay additional medical expenses. If you’ve been in an automotive accident, there’s a good chance you’ve been injured. It might be relatively minor, or it might be serious, but in either case it is your insurance company’s job to cover the damages you both agreed to when you purchased your policy. That’s why you got your insurance, after all. But what happens when your insurance sets a limit on what...

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Billing Insurance, Virginia Physicians for Women

Billing & Insurance Your insurance contract is an agreement between you and your insurance carrier. VPFW participates with most major insurance carriers. As a service to you, we will file your claims with your insurance carrier. As required by insurance carriers, you are responsible for the payment of deductibles, co-payments and non-covered services at the time of your office visits. For your convenience, we accept cash, check, and all major credit cards for payment. You will receive separate bills from all providers of services, including laboratory, x-ray, pathology, anesthesia and the hospital. VPFW charges a fee for the completion of medical forms, such as medical disability,...

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Delivering the Ultimate Claims Experience

Customer expectations have forever changed, as companies like Amazon and Google set new standards for speedy, efficient and, above all, personalized service. Today, consumers expect communication from brands to be relevant, timely and tailored to their unique needs. In the insurance sector, vendors unable to provide top-notch customer interactions will soon be left in the dust. The 2014 Capgemini World Insurance Report featuring information obtained from over 15,000 customers worldwide found that only 32 percent of global insurance customers had positive customer experiences with their insurer. While insurance providers are scrambling to improve customer experiences, their ratings have...

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Insurance Carriers May Be Held Accountable for their Agents’ Wrongful Acts, McGuireWoods

Insurance companies perform a significant amount of business through various agents. Agents and brokers solicit policies, collect premiums, issue policies, and report on, investigate and manage claims. An agent’s negligence in these activities may adversely impact a policyholder’s ability to recover in the event of a loss. A recent decision by the Washington Supreme Court reaffirms that when an insurer’s agent commits wrongdoing, the insurer may also be held liable. Chicago Title Ins. Co. v. Washington State Office of Insurance Commissioner, 309 P.3d 372 (Wash. 2013). Accordingly, if an insurer’s agent negatively affects an insured’s ability to obtain...

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Top 3 Ways Insurance Carriers Can Compete with the Big Boys

Most insurance carriers don’t have the multi-million dollar marketing budgets that some of the big-name companies do. The top five advertisers among insurance companies each spend more than $200 million annually, with behemoth GEICO topping $1 billion. Smaller carriers’ marketing budgets simply can’t compete. For insurance companies that sell through independent agents rather than going direct to consumers, the task of marketing their products and services becomes even more daunting. Not only does the company need to rely on agents to offer its products to potential policyholders—those agents also need to be equipped with tools and messaging to convince their customers, too. There are some...

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What s the Difference Between an Insurance Company and an Insurance Agency? - O Brien Insurance

We often hear terms like “company”, “agency”, “broker”, and “carrier” used seemingly interchangeably when talking about insurance. But, there are some significant differences between an insurance agency, sometimes called an insurance broker, and an insurance company, also known as an insurance carrier. We’re here to help explain how an insurance agency differs from an insurance company, and why that distinction matters to you. Most important, we’re here to take care of YOU! Insurance Company An insurance company is the same as an insurance carrier: a manufacturer of insurance services and products. An insurance carrier or insurance...

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The carrier’s duty to investigate

An insurer’s failure to completely investigate a claim is a crucial part of any bad-faith case 2015 August Insurance carriers have a duty to investigate all claims. This duty is the same regardless of the kind of insurance at issue. This duty applies to first-party claims – that is, when a policyholder has submitted a claim to her insurance carrier, such as a claim under a homeowner’s policy or a disability policy. This duty also applies to third-party claims – that is, when a policyholder asks her liability carrier to provide her with a defense when she has been named as a defendant in a lawsuit. The duty to investigate is an affirmative duty. A carrier cannot simply sit back and wait...

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FINEOS Signs Tier 1 U.S. Insurance Carrier as New Customer, Business Wire

ATLANTA, Ga.--( BUSINESS WIRE )-- FINEOS Corporation ( ASX:FCL ), the leading core platform for life, accident and health insurance globally, is delighted to announce today it has signed a new license agreement with a Tier 1 U.S. Insurer for the FINEOS Platform to support IDAM in the cloud for their Employee Benefits division. The contract has an initial 5-year term and all the revenue associated with the contract for FY20 has been incorporated in the current forecasts, as previously communicated to the market on 16 December. FINEOS CEO Michael Kelly said: “We are delighted to have this leading multi-national insurance carrier selecting our FINEOS Platform to support their Employee Benefits...

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Commonly Used Insurance Terms, Campus Health

Commonly Used Insurance Terms Affordable Care Act - The Affordable Care Act is the comprehensive health care reform law enacted in March 2010. The law was enacted in two parts: The Patient Protection and Affordable Care Act was signed into law on March 23, 2010 and was amended by the Health Care and Education Reconciliation Act on March 30, 2010. The name “Affordable Care Act” is used to refer to the final, amended version of the law. Certificate of Creditable Coverage - There may be circumstances where your insurance carrier will require proof that you were covered in the previous 12 months by another insurance company in order to waive a pre-existing condition. The certificate will show...

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What is COBRA Insurance?, Cigna

COBRA insurance may provide you with temporary health coverage after you leave a job or due to another event that qualifies you. Understanding what COBRA insurance is and how it works, can help you better decide if it's right for you. What is COBRA insurance? COBRA stands for Consolidated Omnibus Budget Reconciliation Act. It's a federal law that was created in 1985 that gives individuals who experience a job loss or other qualifying event the option to continue their current health insurance coverage for a limited amount of time. Employers outside the federal government with more than 20 employees are required to offer COBRA coverage to those who qualify. How do you qualify for COBRA...

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