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June 9, 2023
Successful Mediation in a Covid Overbilling Scheme

Halloran Sage’s Health Care attorneys Howard Pierce and Stephanie Gitlin represented a regional health care payer in a mediation with a chain of urgent care centers.  After a thorough analysis by our in-house statistician, Dr. Daniel Sandoval, the claims data showed repeated upcoding of Covid related claims. Our team was able to confirm a pattern of overbilling by the urgent care centers through interviewing former employees and patients.  A two-day mediation took place where we had an opportunity to present our evidence to the founder of the urgent care centers and its attorneys. This resulted in a favorable seven-figure settlement for our client and avoided protracted litigation.

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Howard L. Pierce
Morris R. Borea
Stephanie M. Gitlin
Daniel Sandoval, Ph.D.
Cost Containment - Health Care