The policy holder, a British national, was admitted to a US hospital with difficulty breathing. The claimant's illness was linked to a pre-existing condition. Following treatment, the US hospital raised charges in excess of $140,000 for the related medical fees.
We were instructed by the travel underwriters to contest the claim on the basis that elements of the treatment were unnecessary and inappropriate. It was our case that treatment costs should instead have been capped at approximately $35,000.
Following protracted negotiations, we agreed an out of court settlement for a greatly reduced sum of $42,000.
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