Navigating Claim Denials
This video provides guidance on what to do if your health insurance claim is denied:
Review the denial reasons and understand why your claim was denied. Sometimes, it may lead you to more cost-effective alternatives.
Contact your doctor and/or insurance company and discuss the denial with the healthcare provider and insurer. It could be due to a coding error or missing information, which can often be resolved quickly.
File an appeal: if the issue isn't resolved after contacting your insurer, you have the right to file an appeal. Your insurer should provide you with a written denial letter that includes information on how to appeal.
Pursue legal help if necessary: as a last resort, you can seek assistance from an insurance bad faith denial attorney if you believe your claim was unfairly denied.
Claim denials are quite common, so it's essential to be proactive and advocate for yourself to ensure you receive the appropriate coverage and care.
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