A health insurance claims denial is the refusal of an insurance company to pay for a medical service, medication, or procedure that you believe should be covered by your policy. It’s important to understand that every insurance policy is different. Some cover more, and some cover less. Also, there are many reasons why a claim may be denied.

The insurer’s decision to deny payment may be based on many factors, ranging from pre-authorization requirements to insufficient medical necessity. The problem with healthcare is that it’s not just a financial transaction but also a personal one. And sometimes, these two aspects conflict, leading to a patient being left in the lurch when an insurer decides to deny their claim.

Health Insurance Claims Denial Reasons

There are many reasons why your health insurance claim may be denied, but some of the most common ones include the following:

We Can Help!

Health insurance claims denial is a common problem. It can be frustrating to know that you’ve paid your health insurance premiums but still do not have coverage when needed. That is why it is crucial to find the right insurance coverage.

For assistance in finding the right insurance coverage that provides quality care, contact Health Insurance Duo today.