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Insurance Appeal

The insurance company denied my claim. What are the tips/tricks to writing a solid appeal? Are they universal?

by Anonymousreply 6Last Monday at 11:51 AM

Mine was denied because my insurance company wants proof the procedure was medically necessary. How is it my fault if my doctor didn’t submit that proof? I don’t see why my bill should go up.

by Anonymousreply 1Last Monday at 10:52 AM

You’re screwed. That’s why picking the right insurance company is so important.

by Anonymousreply 2Last Monday at 11:03 AM

We know nothing about your case but you want advice?

by Anonymousreply 3Last Monday at 11:07 AM

Without knowing specifics, stick with facts. Save the rhetoric and hysterics for Datalounge.

Lay out in excruciating detail, in chronological order, all the facts that are in your favor.

by Anonymousreply 4Last Monday at 11:16 AM

I work in healthcare, There is a process for appeals with insurance company- varies by state. I will tell you they make money by saying NO! What you have to do is keep appealing, they have several internal appeals processes and then it goes to a state process. Most insurance companies do not want to go this route. If its the first denial, appeal usually they do, in my experience, the do approve evenutally.

by Anonymousreply 5Last Monday at 11:45 AM

The first step should be to ask your doctor’s office for help.

by Anonymousreply 6Last Monday at 11:51 AM
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