Everything to Know About Claim Denials

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This video addresses the issue of claim denials in the insurance industry and what to do if you get a claim denial from your insurance company:

  • Claim denials are relatively common, affecting 5-10% of all medical claims.

  • Denials may occur for reasons like incomplete claim forms, duplicate submissions, or services not covered by the plan.

  • Not all denials are final; some can be appealed or rectified.

  • It's crucial for policyholders to communicate with their insurance company or broker to understand the reason behind a denial and to seek advice on possible next steps.