You followed every instruction from your physician after the accident, from attending physical therapy sessions to undergoing the recommended MRI, yet despite your compliance, you likely expected your insurance policy to cover these costs. Now that a letter has arrived in the mail stating the insurance company refuses to pay your medical bills, you are likely facing the claim that your care was neither reasonable nor necessary. This decision often originates from a doctor employed by the insurance company—someone who has never seen your injuries or sat in an exam room with you. Instead of personal interaction, they simply looked at a computer screen and denied your claim through a process that serves the insurer’s bottom line rather than your physical recovery.
The Gap Between Medical Advice and Insurance Profits
While your doctor understands your physical limitations and sees your pain during every office visit, insurance companies operate under a different set of rules designed to limit payouts. Because they rely on internal guidelines rather than clinical findings, they frequently question expensive treatments like specialty imaging or long-term chiropractic care. The insurer often hires a third-party reviewer to search your file for reasons to say no, whether they argue your injury was a pre-existing condition or claim the treatment duration was excessive. These denials create an immense financial burden, leaving you buried in debt while you are still trying to heal from a serious injury.
How We Challenge Biased Medical Reviews
Roberts Markland LLP does not accept these denials at face value; instead, our legal team investigates the reviewer’s background to expose “paper doctors” who earn a living by siding with insurance companies. We gather detailed evidence to support your doctor’s choices, often asking your treating physician to write a narrative report explaining exactly why each treatment was vital for your health. By comparing your records against standard medical protocols, our lawyers identify the flaws in the insurer’s logic and demonstrate when a company has acted in bad faith. We fight tirelessly to ensure the insurer pays exactly what they owe you under the law.
Pursuing Compensation for Bad Faith Denials
Since an insurance company has a legal duty to investigate claims thoroughly and handle them fairly, denying care without a valid reason constitutes a violation known as bad faith. If an insurance company refuses to approve medical treatment that is clearly needed, they may face significant legal penalties for their actions. Our firm offers over 125 years of combined litigation experience, and we handle these disputes personally so you are never passed off to a junior staff member. Sean Roberts and Clive Markland lead our efforts to hold these corporations accountable, taking the pressure off you so you can focus entirely on your medical recovery.
Protect Your Rights with Roberts Markland LLP
Do not let an insurance company overrule your doctor’s medical expertise when our firm can fight for you on a no-win, no-fee basis. You pay nothing unless we recover money for you, and we provide direct access to your case files through a secure online portal for total transparency. With offices in Houston, Denver, and Los Angeles, our lawyers understand the specific tactics used by large insurers to avoid payments in major truck accidents and industrial injuries. Call Roberts Markland LLP at 936-253-6182 for a free consultation, and contact us now to start your fight for fair treatment.
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