CBD

Have your wife talk to her Benefits department @ work first (if you have not done this already) and see if they can help, or explain why the claim was not getting approved. That's what they're there for! Litigation may not help here and you'll have to pay your attorney which could be more than the costs you are seeking for your son's work. There could be a simple answer here. Your Benefits department can also reach out to Anthem, which sounds like is the TPA for the self-funded plans (which means the employer is paying the claims under the plan, not an insurance company).