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Have your healthcare claims been
unfairly denied? Have you been prevented from obtaining
the treatment you need because your health insurance provider has
refused to pay?
HMOs and health
insurance providers are constantly finding new reasons to deny
new treatments, experimental drugs, lengthy hospital stays and
other costly services. As a result, you are not receiving
the coverage that you premiums are paying for!
Denied health insurance claims and
treatment requests can feel like a kick when you are down. What
you most want to know is, “Is there anything I can do?” The
answer is simple. There is something you can do today.
Appealing denial decisions is not complicated and assures you a
second review of the issues involved.
Most insurance
providers fail to inform you of your right, thanks to a recent
U.S. Supreme Court ruling, to appeal your denied health care
claims to a review board independent of your insurance company.
Depending on the medical necessity of the disputed drug,
hospitalization or other treatment, your chances of successfully
overturning the denied claim are very good.
The majority of states have established
independent review boards with the power to resolve disputes and
overrule insurers decisions that unfairly withhold treatment or
deny health care claims. Most decisions by the review board are
handled in 60 days or less.
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