 I recently totaled my truck and I currently owe $23,000 on it. Will the insurance company pay it off? |
| Will the person who was at fault insurance company pay it off and give me what it was worth. My credit situation is not the best so I need a sizable down payment to get another car. So I'm ... |
|
 Insurance on SUVs? |
| How much is insurance on SUVs usually... like a Jeep Grand Cherokee Laredo or a Chevrolet.. anyone know?... |
|
 Someone who understands insurance please help me!? |
| I worked at a job who had a ppo insurance plan. October 30th I started a new job with a high deductable health savings plan. The plan has a 1,050 deductible, after that everything is paid for. My ... |
|
 What is life insurance? |
| Life insurance is suppose to be used as a protection of income. In case you die, your family is protected from devastation of substantial income loss. But, many insurance companies are selling it as ... |
|
 I got injured in a wreck...Help!? |
| I had an accident in May 8th of '08. A nigerian pulled out from a parking lot in a small car & hit me then fled the scene. He is a local pharmacist & ownes his own car lot. Police put it ... |
|
 LIFE INSURANCE - 5 yr term or 30 yr guaranteed term? Please read extra text before answering! Thank you :)? |
I've been quoted £15 per month for a 5 year term and £20 per month for a guaranteed term over a period of 25 years.
After researching life insurance premiums I've learnt they ... |
|
 Health Insurance for getting pregnant? |
I'm thinking of getting pregnant, can anyone tell me what is a good insurance that would cover most of the bills I would have with dr. visits, delivery, etc. I can't afford to pay a lot.
... |
|
 Question about Unemployment- will I be denied? |
| I live and work in California. I am currently employed and I have been working there for three years. My husband has been laid off and on through out those three years due to the economy and the ... |
|
 Auto Accident Help Please? |
| Tuesday morning i hit an car that ran a light. There was a witness that i had had the green light and i wasnt blamed for the crash. this women had no insurance and no licence. My car is totaled as is ... |
|
 I clean houses - how can I get workman's comp insurance? |
| I want to clean houses for a living, but I want to be legit about it. People tell me I should have "workman's comp" insurance. What is that? Where do I get it? How much does it cost?... |
|
 The police report says its me fault???? |
| Hi i have a question.. i was involved in a car accident in November 2007.I was driving along a main road.there was a driver ahead of me who indicated to turn onto his driveway.he drove onto the drive,... |
|
|  |
mickeys12 | I paid for a medical procedure 6 months ago cause my insureance rejected it...? |
However I was ready over the covrage book this weekend and found that they do cover it.
Can I get them to pay me back, or a part of what I paid, or i'm I out of luck? |
 |
 
sarah314
|
Your first step is finding out why the claim initially denied. (Which is what you should have done in the first place, prior to writing out a check for the service. Always verify that the claim denied correctly before paying the bill yourself.)
The way you'll need to proceed depends upon why it denied. Did you use an out-of-network provider? Did the provider bill incorrectly? Did the procedure need pre-authorization and you failed to obtain it?
If it was an issue with the way the claim was billed, you need to make sure that a correct claim is billed to the insurance company.
If it was an issue of not demonstrating medical necessity (not obtaining preauthorization, etc.), then you need to have medical records sent for review.
Also, keep in mind that there are generally appeal and claim filing deadlines, so make sure that you stay within those time frames.
(Once you find out specifically why the claim denied, you're more than welcome to post another question here...someone may be able to give you more specific advice based on the specific circumstances.) |
|
nurse ratchet
|
You file an appeal with the insurance company. If that doesn't help, file a complaint with your state's insurance commissioner's office if you feel you are right. |
|
Daniel C
 |
You will first have to contact them, in writing, with all details. You have to give them the chance to make it right. If they refuse, see if there is a grievance process. If so, follow that. If the grievance fails, or there is no process, you'll have to sue them. |
|
dimples_in_nj
 |
I would suggest the follwing:
1. Call the carrier and advise the reasoning for the claim denial. (Also, obtain the time-frame on the appeal policies- will vary by state)
2. Obtain the information necessary to contest the denial. (usually requires the partnership of the doctor, overall suggest to obtain all the doctor records for the procedure)
3. File an appeal directly with the carier.
4. If carrier upholds the denial explore remedies with the HR department if you feel comfortable. If not, go directly for the department of insurance.
The key is identifying the root cause of the denial. A claim is rarely just denied by mistake. Once the root cause is determined you must fill the information gap to trigger the payment.
Good Luck! |
|
mbrcatz
 |
Oh, you're not out of luck. You can appeal the denial in writing to them, and request that they reimburse you. |
|
Ashley C
|
Take lit up with that company's financial department. |
|
| |
|
| | |
| Questions List |
Answers | Last Post
| | | |
6 | 23 minutes(s) ago
| | | |
6 | 3 hour(s) ago
| | | |
6 | 4 hour(s) ago
| | | |
5 | 6 hour(s) ago
| | | |
6 | 11 hour(s) ago
| | | |
6 | 1 day(s) ago
| | | |
6 | 6 day(s) ago
| | | |
6 | 1 week(s) ago
| | | |
6 | 2 month(s) ago
| | | |
5 | 4 month(s) ago
| |
|
Homepage 
Financial
Forum 
Insurance 
No Spam
Adult 
Gambling
Unfinished
Deception
Plagiarism
Not English
