Did You Know? Studies have found that up to 95 percent of denied health care claims are not appealed.
The Affordable Care Act, or ACA, the law popularly known as Obamacare, gives a policyholder new insurance rights to demand that an insurer reconsider any health claim denial.
Up to a quarter of claims are denied due to:
- Improper coding of the procedure, or other errors on the part of the health provider.
- Care that was performed outside of the health plan's network.
- Care that the insurer deems was not medically necessary, or experimental.
Appealing insurance denials takes time and energy.
Complete Dignity will work with you and your healthcare provider to plan a strategic insurance appeal on your behalf with the anticipation of achieving an end result where the procedure is covered and the claim is corrected.
We can also help you understand your insurance plan, benefits and how to use them effectively before you need them. Being informed in the health insurance realm helps to eliminate the unknown so there are no surprises.