In this week's episode, we are discussing appealing health insurance denials - strategies, reasoning, and encouragement. For more information, visit https://www.balancedfi.com/appealing-health-insurance-denials/
Welcome to the Balanced FI Podcast, episode 24! Thank you so much for listening in!
Appealing health insurance denials is the best (maybe only?) way to increase the chances your health insurance provider will cover the requested medical treatment. So many times a claim is denied automatically, or without sufficient investigation, so it falls to the patient (or patient’s representative) to appeal the denial and seek coverage.
To appeal a health insurance denial, you need to:
Read: The Ultimate Guide to Appealing Health Insurance Denials
Read: Meet RaLea
Patient Advocate Foundation
HeathCare.gov: Appealing a health plan decision - External Review
Center for Medicare Advocacy: Frequently Asked Questions (FAQs) Regarding the Jimmo v. Sebelius “Improvement Standard” Settlement