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Question 2 of 6 in Collecting Claims, Dispute Resolution And Denials |
My insurance company failed to authorized coverage and treatment. Is there anything I can do? |
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For starters. Check your policy or employee booklet for the company’s appeal procedures. Then phone and speak to a representative and ask why it rejected the claim. If still unsuccessful, contact your state’s insurance regulatory office for help. Usually a company will be more inclined to resolve a dispute after the state office jumps in on your behalf.
In some states, there is a procedure for “external review” of your dispute, which means an independent panel will review your case. |
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