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BY Reimbursement

Friday, September 29, 2017:

Jorge M. Abril, P.A. has recently settled yet another large, aggregate claim denial complaint against a managed care company currently listed on Florida’s Affordable Care Act’s healthcare exchange. This healthcare giant has been taking advantage of non-participating providers by grossly under-paying them or not paying them at all for services rendered to patients with plans provided through Florida’s healthcare exchange.

After a year or two of $0 payments on every single claim submitted to this managed care company, this provider gave up hope of ever collecting a penny for services rendered by their large physician practice to hundreds of patients. We were able to assist the provider in aggregating the claims and negotiating a contract going forward which included back payment of all of the outstanding $0 payment claims.

If you have any questions about how the attorneys at Jorge M. Abril, P.A. may be able to help you in contract negotiations and collection of back pay on outstanding claims, please contact us.

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