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Health Insurance Claim: What To Do If It Gets Denied

Health Insurance Denied (Photo: sleep-doctor)

This article shows you some tips on what to do if your health insurance claim gets rejected. 

Know why your claim is denied (Photo: globehealthy)

Find Out Why Your Health Insurance Claim Is Denied

The first thing you need to do according to I Choose is to know the reason why your health insurance claim is rejected. By understanding why your health insurance claim is rejected, you can determine if it is worth appealing the insurer’s decision.

There are multiple reasons why insurance policies are rejected. It can be because of unpaid premiums, lack of documentation, insurance exclusions, or lapsed policy. If your health insurance claim is denied because of those, then the insurer rejecting your health insurance claim is only fair.

You can dispute the decision of the insurer if the reason for the denial of your health insurance claim does not reflect the facts of your claim.

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File An Appeal If Your Health Insurance Claim Is Rejected Unjustly

If the reason for the denial of your health insurance claim does not reflect the facts of your claim, the right thing to do is to file an appeal. For this, you need to present evidence for your claims.

According to Clarks , it is important to have records when dealing with insurance companies. You have to make sure that your paperwork is timestamped in some way. Not keeping the records of your sent documents can be used against you by the insurer.

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