Rosenberg & Rodriguez, PLLC

 COVID19 Update:

We are here for you especially when COVID-19 is affecting so much of our daily life. We want to make sure that we are available to our clients when you need us. In compliance with Gov. Cuomo’s directive, our office is working remotely. We have remote access to your files and have a program that allows our clients to e-sign documents. In addition, Cuomo’s Executive Order No. 202.7 allows Notarization of documents to be done via VIDEO/AUDIO technology. Although we are a PERSONAL INJURY LAW FIRM, we are offering this service for FREE. Please rest assured that we are continuing to work diligently on your cases and all your phone calls and emails will be returned.

 

Denial of health insurance benefits reversed

Rodriguez v. United Health Corporation, Fair Hearing # 5916974P

Rosenberg & Rodriguez represented a patient in a dispute with United Health Care Insurance Co. (UHC) stemming from UHC’s denial of health insurance benefits. The patient was scheduled to undergo a surgical procedure and the patient’s physician requested approval of a 2 – 3 day hospital stay following the surgery. UHC, while approving insurance coverage of the surgery, denied the physician’s request for the in-patient hospital stay. UHC argued that the procedure was ambulatory and that an in-patient stay was unnecessary.

R&R, on behalf of the patient, appealed the decision. During a recent administrative hearing, R&R provided medical studies and other evidence to successfully demonstrate that the in-patient stay was appropriate and necessary. The administrative judge agreed with R&R’s position and the denial of coverage was reversed.