How to Appeal When Your Medical Insurance Declines Your Claim
If you are like most people, when your medical insurance declines your claim, you are left feeling helpless and frustrated. After all, if you need health care and your insurance is saying you dont, you have two choices appealing your claim or paying for the treatment out of pocket.
Most claims are declined for specific reasons and causes. The most likely cause for your health plan to deny your claim is a direct consequence of missing data. Before appealing your denied claim, you can verify that by assuring any and all pre-authorization requests were filled out with accurate patient information.
For example, is your social security number correctly listed? Does the doctor have the most current copy of your health plans identification card? Does your doctor have the most up to date copy of diagnosis and procedure codes in order to fill out the forms correctly?
By verifying that you have submitted the good documentation to the physician and they in turn submitted good documentation the health plan, you are ready to move to the next level. When it comes to dealing with your health insurance...
To view and download this full PLR article, you must be logged in. Registration is completely free. Once you create your account, you will be able to browse, search & downlod from our PLR articles database of over "1,57,897+" on 1,000's of niches and 200+ categories without paying a penny. Click here to signup...
