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hmo

Florida HMO & Managed Care Abuse Attorneys

Physicians and patients in Florida are often compelled to file lawsuits against HMOs (Health Management Organizations) as a result of their HMOs’ refusal to authorize or pay for medically necessary services. In some cases, the HMO refused to pay for procedures at all. In other cases, the HMO set the payment for the procedure so low that it became cost-prohibitive for doctors to perform the procedure.

Our HMO trial lawyers have successfully represented physicians and other health care providers who were unable to secure appropriate reimbursement for services rendered due to an HMO’s delay, denial or downcoding of a properly submitted claim. Our trial lawyers have also successfully represented HMO subscribers who have been denied authorization for medically necessary services, and even obtained damage awards for those subscribers whose medical condition worsened as a result of the delay or denial of care.