Expert Witnesses & Forensic Consultants Directory

Health Insurance — California

Health insurance California expert witnesses, profiled in this directory, may consult on disputes in health insurance policies, including the effective date of policies, charges of uncooperative policyholders and of concealment or misrepresentation of a health condition, health benefit plan negligence, personal injury liability of managed care plans, abuse of discretion in denying medical coverage, preemptions under the Employee Retirement Income Security Act (ERISA) and self-funded employee health benefit plans, administrative health plans, state health care liability laws and state managed care patient protection laws, and related issues in denial of claims. These health insurance California expert witnesses may also provide expert opinions on matters of claims of health insurance fraud, false claims, ghost patients, kickbacks, up-coding services, bundling and unbundling procedures, claimed lack of medical necessity, false certifications that the services were medically necessary and performed in accordance with applicable rules and regulations, improper financial interest, red-lining (discrimination against persons at risk of serious illness) and related issues of fraud. These health insurance experts may also testify in matters of health management organizations (HMOs), employee health benefit plans, health care plan administrators, state health insurers, and state and federal legislation regulating health insurance.

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Health Insurance — California

Bruce F. Deal — Analysis Group, Inc.

Lucinda A. Ehnes, JD

Lori Mote — Sunnybrook Equine Appraisal Service