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 How to find out someones insurance company to file a claim if they will not cooperate?
I FELL DOWN MY APARTMENT STAIRS FOR THE 3RD TIME AFTER VERBALY AND IN LETTERS ASKING THE LANDLORD TO REPAIR THE STAIRS AND MAKE THEM SAFE. THERE HAS BEEN A POSTMAN, POLICEMAN, AND MY PREGNANT DAUGHTER...


 Okay, I have a massive hospital bill in the state of Oklahoma. I am not an Oklahoma resident, I am a?
Louisiana resident. I have a Louisiana Medical Card and I was wondering if I could use that for the bill, even though this happened back on June 30. I literally can't afford to pay this bill. It ...


 Is there a renters insurance out there that would cover a pitbulls?
...


 Should I buy term life insurance?
...


 A friend of mine is starting a carpet laying business - what types of insurance should they consider?
What types of insurance should somebody with their own business consider?
Income Protection, Life, Professional Indemnity, tools & equipment, sickness & accident, health...??

T...


 Can a Company decrease your pay without a demotion?
My company wants to decrease my pay because they are not making enough money( yea right) is this legal?...


 How can i suceed in insurance business?
i was an insurance agent for a company. so for i did not progressed in the business....


 For how many years does a person need to pay national insurance contributions.?
...


 Home contents claim help??
Have you ever claimed for a telly on home contents?
my hubbs was cleaning behind tv 4 me yest so decided to pick up tv off stand so he could tidy up wires ! while moving bacwards he tripped on ...


 Do any of you know about, have, or sell pre-paid legal insurance? Do you recommend it?
Is there money to be made in this field?...


 A dumb question; can insurance experts answer?
I heard about something years back about being able to cash out a life insurance policy after so many years, after you have put so many thousands into it. Is there anything like this? I want to know ...


 Pregnant with no insurance! What do i do?
Im 24 years old and pregnant with my first child.I have no insurance and I dont quilify for medicaid because my boyfriend in I make like $400 over the limit to quilify. I cant get married and be put ...


 An insurance check with my name and the bank name...?
I have a check from my insurance company to fix my car after an accident. Because it is under a loan through the bank still, the check has my name and their name on it, am i ok to just go ahead and ...


 Can I open a life insurance policy on my grandma who is in her late 60's?
My grandmother in-law is in her late 60's and she doesn't have life insurance. She has six children who are incapable of paying for her funeral costs and handling her money. My husband and I...


 Is it easy to commit insurance fraud?

Additional Details
and get away with it?...


 Everybody needs insurance by?
...


 Is there any insurance company in India that can insure bank deposits?
I am willing to pay the premium so that the insurance shud cover the complete deposit amount other thn the 1lac tht RBI gurantees.....


 When choosing a Life Insurance Company, policy/ plan, what are key factors I should look for?
What are any additional things I should look for?...


 Is it a normal procedure for a loan comapny to ask for an insurance premium to secure a loan?
I have been applying for a loan, I have noticed that some companies are asking for an insurance premium to secure my loan. The premium is quite substantial, antwhere from $700 - $1000...


 I received a large check from my health insurance provider. Details below.?
I believe the check was a computer mistake. My ex-wife who was no longer on my policy fraudulently used my insurance coverage to get procedures done when she and her daughter had no coverage with my ...



trying4_baby
Insurance didn’t pay for my delivery, why??
I had my baby Jan 3, 2.5 weeks early. I looked on the insurance website just a minute ago and they have denied everything that had to do with my hospital stay. Why and how can they do that. I am freaking out because my bill is close to 11000 dollars. She was breeched and I do not tried to have her turned. I had a c-section. I can not believe that they can do this. I usually get a provider discount from the hospital and I got no discount either.
                     
 




mbrcatz
Rating
You need to call the insurance company and ask them why not. Some reasons could be: your insurance policy was cancelled, or maybe the hospital wasn't on the approved hospital list, or maybe someone at the billing office entered it wrong, or maybe someone at the insurance company was looking at the wrong paper.

Call the member services number on the back of your insurance card, and ask them for an explanation.


mamatohaley+1
You need to call your health insurance. I had a baby and had part of the claim denied because the provider did not submit correctly. Once they resubmitted insurance company approved and paid for it. I would not freak out yet, it is too early.


Crazy Cat Lady >^..^<
Rating
You need to call them .


darrenwelsh429
Rating
Was maternity coverage on your policy. Some policies do not cover maternity.


mkulda
You will soon get in the mail a document called an "Explanation of Benefits" which will lay out what was paid, what wasn't paid and, most inportantly, why.

You will need that information to launch a formal appeal. Each state has a different set of rules on how insurers have to treat an appeal. You should learn your state's rules and begin the appeal process.

There is very little chance that your insurer planned to cover you and then didn't because of some kind of complications of birth. Either they were going to cover you no matter what.....or they didn't plan to cover you to begin with. You need to find out what the official reason for the denial is and fight it.

meantime, call the hospital immediately and tell them you are working on an appeal of the insurer's decision....that will buy you time to stave off a collection notice.


zippythejessi
If the claim has been "finalized" - get the explanation of benefits (EOB) from the insurance that states EXACTLY why it was denied. Most denials are for something stupid, and you can fight it. DO NOT GIVE UP!!! The insurance isn't going to make it easy for you, they count on you getting annoyed with them. If it hasn't been finalized, wait until it is. Sometimes they show as denied, pending more information from the provider, but ultimately get paid.

If it was denied for something like no-authorization, enlist the help of your OB-GYN's office. They can help you appeal it. If was denied for "Coordination of Benefits" - contact your insurance company right away and ask what they need to prove you have no other insurance.

Just be dilligent about following thru on the appeal, don't let it slide by.


sawftandtender
It should have stated why your claim is being rejected or pended. Look on the website again and get more information.


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