Alabama
This expert is a well experienced health insurance expert, as she has been involved in multiple company's Revenue Cycle Management programs for the past 15 years. She has been involved with negotiations with pharmacies and physicians, and has in depth knowledge of how to work with the Pharmacy Benefit Managers group to effect drug pricing.
Specialties:
A health insurance expert witness provides specialized knowledge on health insurance policies, claims, and regulations. They can clarify complex issues, provide informed opinions, and testify in court.
Cases involving denied claims, policy disputes, bad faith claims, underwriting practices, or regulatory compliance often require the expertise of a health insurance expert witness.
In medical malpractice cases, a health insurance expert can analyze coverage issues, determine if proper procedures were followed, and assess the reasonableness of medical costs.
Yes, some experts specialize in areas like Medicare/Medicaid, private insurance policies, managed care systems, or healthcare finance and economics.
An expert with experience in claim denials can provide insight into whether the denial was justified based on policy terms and industry standards. This can be crucial evidence in such cases.
Expert Institute offers a personalized approach to help you find the highest quality experts. We source actively-practicing professionals who match all your requirements for specialty areas, work experience, litigation history, fee range, certifications, location, and more.