Healthy Living: Insurance Appeal
Since the Affordable Care Act passed in 2010, health insurance appeals have increased, and up to 60 percent of them are now won.
So, what can you do if your insurance denies a claim?
Don’t assume that you can’t file an appeal because you used an out-of-network doctor or medical facility.
If you can prove that it was an emergency or that the procedure or doctor was medically necessary, you may have a good case for an appeal.