Balanced FI Podcast

24. The Ultimate Guide to Appealing Health Insurance Denials

Episode Summary

In this week's episode, we are discussing appealing health insurance denials - strategies, reasoning, and encouragement. For more information, visit

Episode Notes

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

Fax Zero

Patient Advocate Foundation


SOURCES: Appealing a health plan decision - External Review

Center for Medicare Advocacy: Frequently Asked Questions (FAQs) Regarding the Jimmo v. Sebelius “Improvement Standard” Settlement