TRYING TO FIND HOME INSURANCE WHICH ARE THE BEST COMPANYS ? |
| i was looking at Met Life, Allstate, State Farm, and Farmers any suggestions on companys?... |
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DISABILITY INSURANCE.....Who Has Been On Disability, and How Do You Sign Up For It? |
| I am going to have surgery in a couple of weeks, and will not be able to work for about a 2 months. Is disability insurance a part of your health insurance?? If it is not work related, and I will ... |
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Someone got hurt (nearly died) on my property...now what? |
| I bought a very old mobile home from this guy to use as a building for my wife's hobbies. The guy I bought it from moved it to my property for me righ next to my house. I wanted to get the ... |
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Health Insurance? |
| Ok im 20 yrs old...I have really bad asthma and allergies. When I turned 18 I lost my health insurance because I was on my mom's. But now I can go to the doctors to get my inhailer filled....... |
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My husband lost his wallet?? |
| It had his social security card and driver's license in it. In order to get a replacement social security card, you have to have ID...his driver's license was the only ID he had. In order ... |
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Why do women get lower Auto insurance rates? |
| Why do women get lower auto insurance rates I am a 23y/o male and pay the same rate as a 20 y/o female and I have a clean record. I found that it is roughly 15-20% for the opposite sex, and even ... |
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How much does Health Insurance cost? |
| Say your a 25 year old female and need health insurance how much would that cost a month..and also..do most jobs come with health ... |
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How does my insurance compay check my driving history? |
What process do they use to check my driving record? Is it via my DL #, SSN? I just dont know this. Additional Details so what happens if i have a speeding ticket but get a new license ... |
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Can i get my parents Life Insurance? |
Were can i get life Insurance for my parents?
Im gonna be a Lawyer and they get good money.
Also i want my parents to leave me money when they pass away.
Im gonna be happy with money.<... |
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How much auto insurance coverage do I really need? |
We currently have BI 50/100, 50 prop damage and 50/100 uninsured. Here are the details
- 2003 Cadillac Escalade EXT
- Married couple: Wife 27 & Husband 23
- No major tickets in the ... |
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Term Insurance vs Whole Life Insurance? |
1. What is the difference between a term insurance and whole life insurance policy? Which policy is suitable for what kind of people?
2. What are the "exclusions" for term ... |
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Will my insurance cover this? |
| I briefly had my driver's license suspended. During this short time I bumped into a car in the parking lot after an ice storm. There was damage to the other persons car. Police were not involved.... |
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Anyone else ever work for metlife or commission based off of life insurance and financial planning? |
http://jobview.monster.c
i don't know if this will be the right job for me. will i have to do telemarketing or harass people i know? it's a job with ... |
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My husband and I have a joint life policy to cover our joint mortgage, if one of us dies can the kids claim? |
can any of our children make a claim on part of it, we have no other assets and at the moment no will Additional Details I also need to mention my husband has children from a previous ... |
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Could some one give mesome advice ? |
| Okay here is the issue. I bought a car on the fourth of July a 1994 Chrysler new yorker its not worth much but that's not the point an oak branch the size of a tree fell out of the tree. My car ... |
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Spirit-X | What should an appeal letter look like to my insurance company that won't pay for my ER visit? |
If someone had a few minutes to write me up something sendable I would appreciate it to no end! I'm terrible at know what to write. Thanks very much. |
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Cindy
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First, you want to look at why they denied it. If you went to a contracted provider and the contracted provider did not do what they were supposed to do, it's not your responsibility. That's why they are contracted providers.
There are too many variables here to attempt to resolve, but I would exhaust all other avenues before considering an appeal. You may run out of valuable time while waiting on an appeal which is what I suspect they were designed for. So that people will sit back until the statute runs out on their claim.
Good luck |
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Michelle D
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The first thing you need to do is to find out exactly why the insurance company denied your ER visit. What are they claiming the reason was for the denial.
I had a similar situation a few years ago. The ER visit was denied because the insurance company felt that a laceration to the wrist did not warrant an ER visit. The truth of the matter was that my son was playing tag, and not thinking the kids were using the storm door as base. My son pushed his hand an forearm through the storm window in the door. He slit his wrist open approximately 2 inches deep. The doctors office was closed and they would have sent him to the hospital anyway for a cut that deep. Once I explained the injury and talked with the hospital they assisted me in resubmitting the claim to my insurance company.
1) get the reason the claim was denied.
2) state the facts that justify the ER visit.
3) get the assistance of the Hospital/Attending Physician if necessary.
4) resubmit your claim.
5) be persistent if you have a valid claim.
Good Luck
Michelle' |
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trixibel
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need more details...my insurance doesn't pay if you go to the ER and it really wasn't an emergency or there was no diagnosis....its very hard to argue w/ their decision. Sometime the ins. co will contact you to get more details about how the accident happened or what made it an emergency and if you don't respond they wont pay. |
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Custo
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Why won't they pay? If they are questioning 'medical necessity', you need to request your medical records from the visit to the ER & send them with your appeal letter.
Make sure you label your letter as an appeal & be sure to include your insurance ID #. And, keep a copy of your appeal for yourself.
Dear 'health insurance company',
I would like to appeal your decision to deny my ER claim(s) for services rendered @ "Hospital Name" on service date "12/34/56". (Then, you need to state why you feel it should be paid. Like:) The service was indeed medically necessary, and these services are covered. I requested the ER records from "Hospital Name", and have attached them to this letter. Please pay these claim(s) in questions as soon as possible. I am currently being billed by the service providers.
Sincerely, |
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mbrcatz
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Dear company. You didn't pay my bill for (insert reason here). I am appealing this decision; in accordance with my policy terms, I think this should be covered because (put the reason you want it covered here). Please acknowledge this letter and respond within 30 days.
Signed, you. |
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TedEx
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Why do you say 'it looks like." Did you get a rejection letter & what dd it say?
I'd call them and ask for an explanation.
Letters take too long. |
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mytwodogs60463
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before you write that letter go see your agent and see if he will take care of the matter for you. |
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