Lieff Cabraser is investigating complaints by many New Yorkers that health insurance companies are failing to timely pay health insurance claims.
Patients in New York often find themselves visiting medical doctors and other medical practice groups that are not “in network” with their health insurance company, and therefore have to submit an “out of network” claim for benefits and reimbursement. Though insurance companies usually only pay a percentage of the total out-of-network medical visit compared to in-network providers, many New Yorkers prefer the freedom to see their provider of choice, including providers that may not be “in network” with any insurance company.
Many New Yorkers are unaware that all of the below-listed insurance companies that do business in New York are required to promptly reimburse you following any out-of-network insurance claim submission for reimbursement. Failure of the insurance company to repay you within 30 days (or 45 days, if the claim was submitted by regular mail) is a violation of New York law and may entitle you to compensation that includes interest on the amount of money the insurance company failed to timely pay to you.
We are investigating these allegations with respect to numerous insurance companies doing business in New York, including:
- Capital District Physicians
- CIGNA Health and Life Insurance Company
- CIGNA Life Insurance Company of New York
- Combined Life Insurance Company of New York
- Community Blue (aka HealthNow)
- Empire Blue Cross Blue Shield
- Empire HealthChoice Assurance, Inc
- Health Republic Insurance of New York, Corp.
- HealthNow New York Inc.
- HIP Health Maintenance Organization
- Independent Health Association, Inc.
- Oscar Insurance Corporation
- Oxford Health Plans (NY), Inc.
- UnitedHealthcare of New York, Inc.
Contact a Consumer Protection Lawyer at Lieff Cabraser
If you, or you on behalf of a loved one, have submitted a health insurance claim to be reimbursed after seeing an out-of-network provider, and the claim was not paid for 45 or more days after your submission, please contact us so that we can evaluate your claim to see if you would be entitled to compensation.
We are also interested in speaking with out-of-network medical providers who provide ‘balance billing’ options to their patients and similarly experience a delay in the payment of submitted insurance claims.