A denied health insurance claim is not always the final answer.
Nearly one in three insured adults has experienced a denial, yet fewer than 1% of denied claims are appealed. Studies show that 40% to 75% of appealed denials may be overturned.
If your claim is denied:
- Review your Explanation of Benefits
- Ask your insurer for the reason
- Contact your health care provider for help
- Request the records used to make the decision
- Consider filing an appeal
ProPublica’s free Claim File Helper can help you request the documents needed to better understand and challenge a denial. Persistence can pay off.
