How to Appeal a Health Insurance Decision

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Occasionally, your health insurance claim may be denied. Paperwork and persistence are crucial to reversing your carrier's decision.

To complete this How-To you will need:

Help from your doctor
Medical paperwork
Persistance
A computer with internet access (optional)

Step 1: Enlist doctor's aid

Enlist your doctor's assistance with correct coding information, proper documentation, and medical records.

Step 2: Write appeal letter

Write your appeal letter. Be sure to include the date, claim number, date of service, policy number, reason for denial, why you are writing, and what you are requesting.

Tip: Sample medical appeal letters are available online.

Step 3: Include paperwork

Include supporting paperwork with your appeal letter such as letters of medical necessity from your physician and medical records.

Step 4: Identify address

Identify the address where you will need to send your appeal. It may be different than the claim submission address.

Step 5: Send certified mail

Send via certified mail. The return receipt will ensure that your appeal is received.

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Category:

Howto & Style

Tags:

• HotHowTos
• health
• sick
• life
• insurance
• appealing
• denying
• paperwork
• decision
• medical
• doctor
• coverage

[snoopyloopy]

meanwhile, you're still on the hook for the bill, possibly in the hundreds of thousands until they decide if they'll cover it after all.

[grandcracker1212]

LMFAO RIGHT

[videogamer24385]

Computer with internet access? Crap I don't got that :(

[Mastertj987]

only in the u.s

[myentourage]

no claim should be denied. If you are paying for insurance and a Dr. orders something or a Dr says you have to have a procedure then what riight do they have to deny you. You pay for insurace as "insurance" if you ever need something. This is why we are so fucked in America. We allow pencil pusher and stock holders to decide who lives and dies.

[Lopeirada]

@1kingconan Great "first" comment XD

[Morbidminister]

@cabokevin Is that an invitation? You got room and board available? Cuz if so, I'm there!

[Morbidminister]

Oh yes... This. This is what life is all about...

[4mAALIKcHIN4]

'Saw 6': Lets see if you get the connection

[cabokevin]

u guys sould come here to holland.!!!!!!!!