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The Disability Denial Machine: How Insurers Reject Long Covid Claims

A Bloomberg Law investigation reveals how major disability insurers — led by Unum — have repeatedly relied on the same doctors to deny long Covid claims, even after federal judges criticized those doctors for ignoring evidence and reaching false conclusions. A quarter of long Covid denials challenged in court were evaluated by reviewers previously rebuked by judges. With limited penalties under federal law and few claimants able to afford litigation, insurers have little incentive to change, and their doctors have strong financial incentives to keep denying.

Fighting for Mental Health Parity: Raval Law Takes on Humana

Fighting for Mental Health Parity: Raval Law Takes on HumanaRaval Law brought two federal appeals court cases against Humana in Texas after the insurer cut off inpatient treatment for patients with severe eating disorders — despite medical evidence that continued hospitalization was essential. The central argument: patients weren’t recovering on their own; they were only stable because of the structured environment the facility provided. Both cases raised key questions about how insurers define “medical necessity” under the federal Mental Health Parity Act.


Humana’s Denial of Eating Disorder Treatment Sent Back to Court

A federal appeals court vacated a lower court’s ruling in favor of Humana, finding that disputed facts about whether Katherine P. had previously failed outpatient treatment — and whether inpatient care was her only path to recovery — deserved proper consideration. Raval Law argued that Humana’s own “medical necessity” standards failed to reflect accepted medical practice and were tainted by biased reviewers. The decision kept the case alive and allowed key questions about how insurers define medical necessity to be heard.


Ariana M. v. Humana: A Landmark Shift in How Courts Review Insurance Denials

The Ariana M. v. Humana case produced a significant legal precedent beyond its facts: the Fifth Circuit Court of Appeals abandoned its long-standing practice of deferring to insurers’ factual determinations, joining every other federal circuit in requiring courts to review benefit denials de novo — meaning from scratch, without giving insurers the benefit of the doubt. For patients challenging denied claims in Texas, Louisiana, and Mississippi, this shift means courts must now independently weigh the evidence rather than simply asking whether an insurer’s decision was “unreasonable.” The ruling put insurers on notice that their coverage decisions will face genuine judicial scrutiny.


Long-Term Disability Claim Victory Against Prudential Insurance

Raval Trial Law secured a settlement for Dr. Regina Sutton, a trauma surgeon whose long-term disability benefits were wrongfully terminated by Prudential Insurance after a 2013 car accident left her with serious, ongoing injuries. Prudential had repeatedly denied her claims — arguing she could perform unrelated, lower-paying roles — despite medical documentation supporting her inability to work. After years of exhausted appeals, Dr. Sutton filed suit in Texas federal court alleging breach of contract, bad faith, and violations of the Texas Insurance Code. With her case surviving Prudential’s dismissal bid, the parties reached a settlement in March 2025.


When Insurers Gamble With Lives: The Hidden System Behind Mental Health Denials

A ProPublica investigation exposes how major insurers like United Healthcare and Cigna repeatedly use the same psychiatrists to deny mental health coverage — even after federal judges criticized those doctors for errors and rubber-stamped denials. In one case, a 15-year-old anorexia patient was denied continued treatment despite clear evidence she wasn’t ready to leave, forcing her family to refinance their home. The 5th Circuit ultimately ruled in the family’s favor.


 

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