Navigating Claim Denials

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Claims

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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.