Medical billing and insurance law covers the confusing (and often frustrating) world of denied claims, surprise medical bills, and coverage appeals. In this section of LawAdvisorPro, we break down your rights as a patient and policyholder in plain English — from filing appeals to disputing charges and understanding what your insurance legally has to cover. If you’ve ever felt stuck between a doctor’s bill and your insurance company, you’re in the right place.
Yes — balance billing is still legal in many states, but recent federal laws and state protections may limit it or ban it entirely depending on the situation. Understanding whether it’s legal in your state requires knowing the type of insurance you have, who treated you, and where the care
You went to the hospital, got treated, and now you’re holding a bill that looks like it was written in a foreign language. Between codes, charges, and cryptic terms, hospital bills can be confusing, stressful, and overwhelming — especially when the numbers don’t seem to add up. In this guide,
You’ve had a health condition for years. You finally get insurance. And then… denied. If your health insurance provider refuses to cover care due to a pre-existing condition, you may feel stuck—but you’re not out of options. In this guide, we’ll break down what a pre-existing condition is, when insurers
You’ve paid your premiums. You followed the rules. You expected your insurance to cover the care you needed. Then you get the letter: “Claim Denied.” It’s frustrating—but not the end of the road. Denied claims happen all the time, and many are overturned when patients take the right steps. In
You did everything right—saw a doctor, submitted your claim, followed your insurance plan’s rules—and then came the letter: “Claim denied.” But don’t panic. You have the right to appeal your health insurance provider’s decision—and you absolutely should, especially if the denial doesn’t make sense. In this guide, we’ll walk you
Got a medical bill that feels way too high—or just plain wrong? You’re not alone. Medical billing errors are shockingly common, and many patients don’t realize they have the right to dispute charges they believe are incorrect or unfair. In this guide, we’ll walk you through exactly how to spot
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