Avoiding and Handling Coverage Disputes

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Level: Intermediate

Why you need this course:
After completing this course, you'll be able to identify coverage issues and evaluate potential solutions.

Upon successful completion of this course, you should be able to:

  • Identify common mistakes made in coverage decisions.
  • Explain what investigation under a reservation of rights means.
  • Describe the duty to defend and common coverage disputes.
  • Identify when negotiation of coverage issues is used.
  • Define when arbitration of coverage issues is needed.
  • Explain the justification for coverage denials.
  • Describe declaratory judgment actions.

Cost: $20 per Professional Development Hour (PDH). Information on Professional Development Hours (PDH) provided can be found here.

Avoiding and Handling Coverage Disputes Topics Include:

  • Mistakes in coverage decisions
  • Investigation under a reservation of rights
  • The duty to defend and coverage disputes
  • Negotiation of coverage issues
  • Arbitration of coverage issues
  • Coverage denials
  • Declaratory judgment actions

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