A service of Denials Management, Inc.
hen
you're dealing with medical, dental, disability or life insurance issues, it is
an emotionally and financially difficult time for you and your family.
An Insurance Claim Denial can add
even more stress to an already difficult situation. We're here to show
you that a denied claim isn't
necessarily final.
You have the right to obtain a full, fair and thorough review.
You have the right to obtain expert claim representation and assistance throughout all levels of the administrative appeal process.
You have the right to make and file insurance department complaints on claims that are stalled.
You have the right to request independent medical reviews for several denial reasons.
You can do it, and FixMyClaim.com will teach you how to navigate the complex claim resolution processes.
Insurance Claim Denial types:
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- Medical Necessity
- Not Covered
- Pre-existing Condition
- Timely Filing
- Workers Compensation
- COBRA
- Coding Problem
- Continuation
- Conversion
- Cosmetic Surgery
- Dental
- Discount Errors
- DRG Payment Error
- Dual Diagnosis
- Duplicate Service
- Eligibility
- Emergency Room
- Experimental
- Extension of Benefits
- Information Needed
- HIPAA
- Maximum Benefit
- Multiple Procedures
- No PCP referral
- Non-Participating Provider
- Not Processed
- Out of Area
- Pre-Cert Penalty
- Pre-Cert/Pre-Auth
- Processing Error
- Prompt Payment Error
- Provider Definition
- Reasonable & Customary
- Recission
- Silent PPO
- STD/LTD
- Termination
- Third Party Lien
- Verification Misquote
Facts:
In March 2003, a study by the Health Insurance Association of America
found that 14 percent of all claims submitted to insurance companies
are denied. We truly believe with the recent economic
situation in
the United States that the number of denied claims and slow paying
claims is on the rise.
A
2005 study, published
in the journal Health Affairs, estimated that medical bankruptcies
affect about 2 million Americans every year, if both debtors and their
dependents, including about 700,000 children, are counted. "About
half cited
medical causes, which indicates that 1.9 to 2.2 million Americans
(filers plus dependents) experienced medical bankruptcy," they wrote.
Denials Management, Inc. has been successfully appealing denied
insurance claims since February, 1990. In our nearly 20 years
of
reviewing and appealing denied claims, it has consistently been our
experience that 70% of these denials are reversible in whole or in part.
With hundreds of samples for letters of appeal, case studies - medical necessity denials, articles, laws and regulations, online chat,
phone claim support, and support forum, FixMyClaim.com will help you collect all the benefits your policy allows. View our Member
Benefits and take
a tour today. |
