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Contractual Denials

Analyzing Provider Contracts

In our experience, payors routinely deny claims based on the improper application of contractual terms. Our team of attorneys at Abril Law will analyze your provider contracts, and present persuasive arguments to substantiate your position and enforce your contractual rights.

If administrative remedies have been exhausted, our firm will routinely file a declaratory action in the proper courts to request judicial intervention and a declaration of the provider’s rights concerning the interpretation of your written agreement.

The firm has achieved unparalleled success in the use of Declaratory Actions, where amendments to the original provider contract mischaracterized reimbursement rates depending on the place of service.

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