Disputes & Commercial Payor Litigation

Our attorneys have recovered hundreds of millions of dollars in outstanding receivables for both in-network and out-of-network healthcare providers and their patients. We level the playing field against the largest insurance companies, taking them to court and fighting for healthcare providers to recover the reimbursement they deserve.

AGG has one of the most aggressive and respected reimbursement practices in the country. Representing only providers and patients, we pride ourselves on our successful representation of these clients.

The big payors know us, and we can often resolve reimbursement issues without filing a lawsuit. If it becomes necessary to take them to court or arbitration, our commercial insurance trial lawyers have decades of experience developing unique approaches to pursuing claims against insurance companies that refuse to pay what they owe.

Routinely taking on significant issues in high-stakes cases, we represent providers against insurance companies on underpayments, fraudulent medical necessity denials, and other reimbursement-related matters in state and federal courts. We also have expertise in suits against cost-containment vendors who underprice the value of out-of-network claims.

We enforce laws requiring medical and behavioral health treatment coverage, serving healthcare providers who have been wrongfully denied payment for services and patients or policyholders denied medically necessary treatment.  We hold insurance companies accountable for violations of state and federal laws, including the Patient Protection and Affordable Care Act, Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, Employee Retirement Income Security Act of 1974 (“ERISA”), Federal Employees Health Benefits Act of 1959 the Racketeer Influenced and Corrupt Organizations Act (RICO), and the No Surprises Act.