As an attorney in 1984 John Clark first had the challenge of attempting to overcome a third party insurance carrier’s refusal to pay benefits on a claim. The hospital’s staff had done all possible from a lay perspective to force payment, but was stymied with improbable, indiscernible and changing reasons for denial based on seemingly whimsical reasoning. In that particular case, John could not accept the fact that the condition treated was preexisting, and as it turns out it was not. In addition, he determined that the preexisting exclusion period had passed. Thus, the groundwork for CMA’s current specialized area of practice was laid at that time.

Upon further investigation and research, John discovered that hospitals and health care providers were quite often faced with stalling techniques and situations where specialized legal help is needed. John thus made the decision to steer his firm’s focus towards hospital claims where third party payers had improperly denied coverage or forestalled payment. By sending their large aged third party denials to John's firm for resolution, his clients were able to concentrate their reimbursement efforts where they were most effective, on less aged claims. Since that time, the firm has evolved into Clark, Mascaro & Aziz, P.C. and business has gradually grown. Third party reimbursement on a contingency basis is all that we do, and CMA has since partnered with over 200 hospitals nationwide. Our Denial Specialists and attorneys have substantial experience and are specially trained solely in overturning improperly denied or stalled third party claims.

Since our inception we have successfully represented our clients in all third party payer arenas, including:

	Managed Care
	ERISA plans
	Commercial Insurance
	Medicare
	Medicaid
	Municipal and Liability Claims
	Workers' Compensation

For almost 20 years, we have also routinely handled difficult areas such as:

	Mis-Verification of Eligibility
	Coordination of Benefits
	Failure to Pre-Certify Treatment
	Stop Loss Provisions
	Misconstrued Contractual Provisions
	Improper COBRA Notices

We hope to have an opportunity to help you address some of your problem areas and free your staff to be more efficient and profitable with their in-house and denial management efforts.