Froggy Land

Minds are like parachutes. They only function when they are open.

Thursday, November 02, 2006

How to appeal a insurance denial of care

This is a big deal with my job daily.

• Follow the companies procedure for referrals and appeals. Understand your coverage! This will save a lot of time and pain.

• Appeal through your plan. Companies may have different procedures for different kinds of appeals. Learn the rules and stick to them.

• If you're not satisfied with the internal appeal process, get an external review. External review programs vary by state to state, so learn the rules in your neck of the woods.

Here are some links to better explain things

How to appeal denials of care
A Consumer Guide to Handling Disputes with Your Employer or Private Health Plan, 2005 Update

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