A national 501 (c)(3) non-profit charity that provides direct services to patients with chronic, life threatening and debilitating diseases to help access care and treatment recommended by their doctor.
While you may be upset or discouraged because of an insurance denial, you have an opportunity to organize yourself and make the best argument possible to sway your insurer into covering the denied service, testing, or medication.
Review the denial letter, insurance paperwork, or call your insurer to get these answers before you start:
What is the specific reason behind the denial?
How do I request a copy of the file which supports the denial?
Who are the people responsible for reviewing my appeal?
What are the deadlines for me to file the appeal?
What is the time frame for the health benefit plan to respond to the appeal?
As you begin the appeals process, gather your documents and keep them in a file organized by date of receipt so your paperwork is easier to navigate. Organization and paperwork management can be a key element in your success.