Oct
28
2011
This has been on my mind for some time and I have been trying to let my clients and perspective clients know about this so they can respond appropriately. Many insurance companies use vendors to conduct video surveillance while the disability claimant is at their home. There is simply no way to tell which files will be selected for video… Read the rest
no comments | tags: attorney, disability advice, disability attorneys, disability carrier, disability denial, ERISA, erisa blog, ERISA lawyers, Functional Capacity Evaluation, IME, Independent Medical Examination, insurance claim denial blog, Insurance Denial, Long Term Disability, Long Term Disability Denial, surveillance, vocational expert, working capacity | posted in ERISA, Insurance Denial, Long Term Disability
Mar
11
2009
“Peer Reviews” Lead to Wrongful Denial of Disability Claims
A peer review is NOT the same as a second opinion or independent medical exam (IME). Essentially, a peer review is a tool used by the insurance company to review your Dr’s medical records.
Peer reviews… Read the rest
2 comments | tags: Add new tag, disability denial, disabled workers, low quality evidence, misrepresention of doctor summary, peer review, peer reviewing physician, peer-to-peer consultation, violates HIPAA, wrongful disability denial | posted in ERISA, Insurance Denial, Long Term Disability, Peer Reviews