How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dimitry K., Esq. Your Own Question
Dimitry K., Esq.
Dimitry K., Esq., Attorney
Category: Legal
Satisfied Customers: 41221
Experience:  Multiple jurisdictions, specialize in business/contract disputes, estate creation and administration.
Type Your Legal Question Here...
Dimitry K., Esq. is online now
A new question is answered every 9 seconds

My insurance company is refusing payment for my wifes inpatient

This answer was rated:

My insurance company is refusing payment for my wife's inpatient care at a top rate mental health facility stating that she does not seem to be a immediate danger to herself or others. On the night we decided to admit my wife, she attempted to swallow a handful of pills. The facility has submitted the paperwork - payment was rejected. They filed an appeal and that was rejected. I believe I have one more appeal and was wondering if legal counsel would be proper action to take or if that would just be spending money with little chance of results.

Than you for your question. Please permit me to assist you with your concerns.

I am genuinely sorry to hear that you are in this situation. In this situation retaining counsel would be most wise. Insurance companies, for many reasons, do not always know what is in their own policies, and do not always bother to read your claims and demands for an appeal. But when they receive a letter from an attorney on attorney letterhead alleging 'bad faith' and 'breach of contract', their legal department stands up and takes notice. Such letter are all too unfortunately common but they also happen to be quite effective. This is a good investment (I speak from experience as I have written quite a few such letters and so far none have come back rejecting a claim), and one that would very likely reinstate this claim for you.

Good luck.

Dimitry K., Esq. and 6 other Legal Specialists are ready to help you