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Long Term Disability / Life /
Accidental Death / ERISA

Our past years of representing insurance companies taught us a thing or two about how they work behind the scenes. Let our experience work for you.

Health Insurance Claims Lawyer in Arlington

Assisting Individuals in Arlington with Filing or Appealing a Claim for Health Insurance Benefits

When individuals in Arlington timely pay their health insurance premiums, they expect that when they are seriously injured or become unexpectedly ill, they will be covered. However, that is not always the case, and it is not unheard of for an insurer to delay payment on a claim, underpay a claim, or leave their insured with outstanding medical bills that he or she must cover.

All insurance companies, including health insurers, have a duty to act in good faith and to properly pay a valid claim. When an insurance company fails to do this, they are arguably in breach of contract, and you might be able to take legal action against the insurance company. Attorney J. Price McNamara of the Law Offices of J. Price McNamara could assist you with pursuing this legal action, if necessary. Please contact us online today to discuss your options. 

We answer any questions
you have FREE OF CHARGE.

(866) 248-0580

Receiving a bill should never be the first step in getting help. Our firm knows that when dealing with an ERISA, long term disability or insurance claim, what you need is answers, and we are here to provide them free of charge.

Our firm welcomes telephone calls or the opportunity to visit with you in person to answer any questions you may have. We also provide FREE comprehensive case reviews. There is no obligation to hire us as your ERISA attorney.

Why I Love Our Mission Of
Helping People Like You…

Too much is at stake to guess about the best approach and strategy for fighting your denied insurance claim — years and years of financial security.

After spending years representing insurance companies, we don’t guess. We know their playbook and how they work behind the scenes. Using that knowledge, we’ve developed our own Clear Advantage Process for fighting claims.

It’s personally satisfying to use what I’ve learned as an insurance company insider, now for the good — helping families reverse unfair denials of insurance benefits they paid for, need and deserve.


About J. Price McNamara

Price McNamara began his law practice in 1990 representing insurance companies.

In 1995, Mr. McNamara founded McNamara Law Offices, where he represents people across the U.S. who are wrongfully denied long-term disability insurance, life insurance, and accidental death insurance benefits, with special focus on ERISA claims and lawsuits.

His is a member of the Louisiana and Texas Bars, with office locations by appointment only in Baton Rouge, Metairie, and Houston. He lives in Baton Rouge, Louisiana with his wife and their three children.

See How We Have Helped Others In Situations Just Like Yours.

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Reasons Why Health Insurance Companies Delay or Deny Claims

There are a variety of different reasons why health insurers in and around Arlington may decide to delay paying out a health insurance claim or may deny a claim altogether. Some of the most common reasons for health insurance claim denials and delays include the following:

  • The illness or injury from which you are suffering is specifically excluded under the health insurance plan. For example, some health insurance plans do not cover mental health illnesses.
  • The claim was not submitted in a timely manner, resulting in processing delays on the insurance company’s end. 
  • The insurance company considers the treatment that you received to be not medically necessary under the circumstances.
  • The costs of the medical treatment which you receive are excessive, or it appears that you received unnecessary medical treatment for your particular illness or injury.
  • There was a clerical error or an administrative error on the insurance company’s side which caused a delay in processing your claim.

If your health insurance claim has been delayed or denied for one of the above-referenced reasons, an experienced health insurance claims lawyer in Arlington can investigate the circumstances and determine whether or not the insurance company wrongfully denied your claim. If it appears that the insurance company acted in bad faith, then your attorney might be able to administratively appeal the claim denial or pursue litigation against the insurance company.

Our number-one goal is getting you and your family back to financial security as soon as possible.

Contact Us Today. We Can Help You.

Free Case Consultation

Complete the confidential form for a free, no obligation case evaluation and we’ll tell you how we can help.

Baton Rouge Office

10455 Jefferson Hwy,
Suite 2B
Baton Rouge, LA 70809
Phone: (225) 201-8311
Fax: (225) 201-8313
(By Appointment)

New Orleans Office

4141 Veterans Memorial Blvd.
Suite 212
Metairie, LA 70002
Phone: (504) 458-8455
Fax: (225) 201-8313
(By Appointment)

Houston Office

363 N Sam Houston Pkwy E
Ste 1100 PMB, #114
Houston, TX 77060
Phone: (713) 439-0339
Fax: (225) 201-8313
(By Appointment)

Pre-authorization Denials

Sometimes, health insurance companies will deny a claim, alleging that the insured did not obtain the insurer’s pre-authorization before he or she received certain medical treatment. However, a denial on this basis is not always permanent. The insured, for example, might be able to show that the treatment was necessary and that the insurance company would have authorized the treatment had they known about it.

Call an Experienced Health Insurance Claims Attorney in Arlington Today

Insurance companies deny health insurance claims for a variety of reasons. However, if you believe that the insurance company denied your claim out of bad faith, or that it is unduly prolonging your claim, you should seek legal assistance as soon as possible. Lawyer J. Price McNamara of the Law Offices of J. Price McNamara will do everything possible to assist you with appealing or litigating your claim denial. 

To schedule a free legal consultation and case evaluation with a knowledgeable health insurance claims lawyer in Arlington, contact us online today for more information about how we could assist you with your legal matter. 

Attorney Advertising. This website is designed for general information only. The information presented at this site should not be construed to be formal legal advice nor the formation of a lawyer/client relationship. Testimonials are not a guarantee, warranty, or prediction of the outcome of your case. By providing certain contact information herein, you are expressly authorizing the recipient of this message to contact you via the methods of communication provided.

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