Content Overview
- Summary
- A Claim Denied On The Basis That The Procedure Or Treatment Is Not Medically Necessary
- A Claim Denied On The Basis That The Charges Are Not Usual, Customary and Reasonable ("UCR")
- A Claim Denied On The Basis That The Procedure Is Experimental
- A Claim Denied On The Basis That The Procedure Is Not A Covered Procedure
- A Claim Denied Due To Misrepresentation In The Application
- A Claim Denied On The Basis That The Specialist Or Facility Is Out Of Network
- A Claim Denied On The Basis That The Treatment Or Drug Is Not Likely To Cause Your Health Condition To Improve
- A Claim Denied On The Basis That You Are Likely To Require Care For A Very Long Time
- A Claim Denied For Technical Reasons Such As Incorrect Coding
- A Claim Denied Because You Are Not Home Bound
Arguments To Use Against An Insurer's Denial Of A Health Claim
A Claim Denied For Technical Reasons Such As Incorrect Coding
Next » « Previous10/11
It is not unusual for a claim to be denied for technical reasons - for instance, because the code used by the medical provider is incorrect.
Ask the health care provider that submitted the claim to correct and resubmit the claim.
To Learn More
More Information
Health Insurance: Claims: Appeals: Sample Cover Letter
Get Your Personal Guide
Please share how this information is useful to you. 0 Comments
Post a Comment Have something to add to this topic? Contact Us.