This is an older article and I probably should have posted my own article about this process a long time ago. Fighting health insurance denial of claims is difficult but not impossible. Some companies actually deny every first claim that comes in so they expect you to fight a denial. Anyway, this article goes over all the things you need to know to get your claim paid appropriately. It can be done, it just takes a little time and a lot of patience.
How to Fight a Health Insurance Denial
By: Brie Cadman
Fighting with health insurance companies has to be one of the most unsavory tasks around. When I worked in a cancer clinic, we had one woman whose sole job was to talk, negotiate, beg, and plead with insurance companies on behalf of our patients. It was never an easy fight, and one that most people have to do for themselves. Though it requires patience, attention to detail, and tenacity, taking the time to dispute a denial can really pay off. You just might win. A recent case in California brought against a managed care company found that 30 percent of medical claims were improperly denied; a study done by the Kaiser Family Foundation found that around 40 percent of disputed claims were approved. If you think your insurance company has wrongly denied a procedure, pursue it.
Continue reading the article here.
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