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Can you fight a health insurance claim denial?

On Behalf of | Aug 15, 2019 | Insurance Law |

Seattle residents like you rely on your insurance to help you through difficult periods in your life where you may be struggling with health and wellness. Because of that, if your health insurance claim is denied, it can feel like you have nowhere else to go. However, there are steps you can take to fight a claim denial.

FindLaw illustrates what you should do after your health insurance claim has been denied. First, you can make an appeal explaining why you believe the decision to deny your claim was wrong. This is the time to include any documents or evidence that support your side of the argument, as well. Use the grounds listed on the notice of denial you were given and focus specifically on proving that those reasons are incorrect.

Even if your appeal is denied, you still have the option to sue the insurer. You can make a bad faith claim if you believe that the insurer has refused to accept evidence or conduct an investigation, or if they have fabricated evidence to support their own claims. They can also tamper with the investigation by dragging it out for an unreasonably long time. This can be done by adhering unnecessarily closely to minor bureaucratic requirements or procedures, which is grounds for a bad faith claim, too.

If you believe that any steps have been taken to unfairly deny you the insurance claim you are owed, consider contacting an attorney. They can provide you with insight and support throughout the process.