Wednesday 18 May 2022

Medical Denial - What Papers Do I Need?

Keep copies of all information related to your claim and the denial. This includes information your health insurance company offers to you and information you offer to your insurance company like:

 


  • The Explanation of Benefits forms or letters showing what payment were denied
  • A copy of the application for an internal appeal that you sent to your health insurance company
  • Any documents with extra information you sent to the health insurance company (like a letter or other information from your physician)
  • A copy of any letter or form you are required to authorize, if you select to have your doctor or anyone else file a request for you.
  • Notes and dates from any phone calls you have with your health insurance company or your doctor that relate to your request. Include the day, time, name, and title of the individual you talked to and details about the discussion.
  • Keep original documents and submit copies to your health insurance company. You will need to send your health insurance company the original appeal for an internal appeal and your request to have a third party (like your physician) file your internal appeal for you. Make sure to keep your own copies of these medical documents.

More Info: How to Fight an Insurance Claim Denial

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