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Payor Disputes

David A. King

Leveraging over 30 years of health care experience, David’s well-seasoned approach is pragmatic and highly detailed, enabling clients to advance their business and legal interests in managed care strategy and national and state legislative matters. He regularly consults with health care providers on in-network and out-of-network strategies and other issues involving the relationships among providers, insurers, self-funded plans, benefit administrators and vendors. He counsels providers on challenges such as payor coverage and reimbursement policies, reference-based pricing initiatives, surprise medical billing, ERISA and ACA laws, hospital lien laws and persuading payors to cover medical devices and procedures.