Resolving COVID related insurance claims - how can mediators help?

We have all followed the high profile test case, brought by the FCA, to clarify how Business Interruption policies should respond to pandemic related claims. The Supreme Court judgment in The Financial Conduct Authority v Arch and Others has provided much needed guidance on the law is this area. Not least, it has overturned the egregious decision in the Orient Express Hotels case which left a hotel policyholder without cover from the impact of Hurricane Katrina. The court had decided in the now discredited case that a policy holder can’t claim for a BI loss if the event which caused it damage also led to wider area damage which would have affected its business even if it had suffered no direct loss!

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Understanding 2021 Changes in Emergency Medicine Reimbursement

Emergency medicine groups face several changes this year, including a new federal ban on surprise medical billing, updates to the Medicare reimbursement formula, changes to the CMS MIPS program, and new billable services. Below is a summary of these changes provided by the experts at Brault Practice Solutions.

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Over $22.8 Million Located, Returned To Tennessee Consumers

The Tennessee Department of Commerce & Insurance (TDCI) announces today that over $22.8 million was located and returned to Tennesseans in combined life insurance benefits/annuities and monies returned through the Department’s mediation efforts in 2020. TDCI’s figures show:

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Law protecting people from surprise medical bills to go into effect

RICHMOND, Va. (CBS19 NEWS) -- A new law will soon be going into effect that could help protect people from surprise medical bills.

According to a release from the State Corporation Commission, surprise or balance billing can happen when patients enrolled in managed health insurance plans get bills for more than their plan's cost-sharing amounts, such as deductibles and co-pays, from medical service providers who do not participate in the plan's network of providers.

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