No matter what insurance provider you get your coverage through, there is always a chance that you will have to contend with denial. Familiarizing yourself with health insurance denial rates by company is part of the picture, but so is understanding how to push back against unjust claim denials.

It is not unusual for the claims process to take longer than expected. While Wisconsin laws mandate insurers to “promptly pay every insurance claim” within 30 days, some factors may cause your claim to take longer.

It may take up to 30 days for the insurer to review the claim and make a decision. Additional time may be necessary if the patient decides to appeal the insurance company's decision or take legal action.

Many factors affect when you will hear from your adjuster after filing an initial claim. Some companies return calls within 24-48 hours, while other, smaller companies may take longer to contact you.

No one likes to be lied to, especially by a professional who is responsible for determining whether your insurance claim is valid. If you have been injured in an accident and have a sizable claim, you may find the tactics used by an insurance adjuster to be accusatory, shrewd, and downright dishonest. 

Just because your insurance company has rejected your claim or made an unreasonably low offer does not mean that it is the last word. You can fight back by retaining a dedicated insurance dispute lawyer. Wallace Law works hard to help clients better understand how insurance claims work so they can receive the payouts they deserve.

All employee benefit programs are subject to a federal law known as the Employee Retirement Income Security Act, or ERISA. In the ‘60s and early ‘70s, our federal government created certain protections for employee benefit plans after it became clear that many were poorly funded and never vested. However,  employer-sponsored health plans were somehow able to slither into protections that were initially designed for union pension funds.

If you suspect that your insurer is playing games to dodge payments, contact Wallace Law for help. We understand how health insurance claims (and companies) work and can help you get the compensation you deserve.

About 17 of every 100 healthcare claims are denied. Are you in this boat? Read more about your legal options here.

Health insurance companies can — and often do — deny claims. Luckily, consumers can challenge these denials. Wallace Law can guide you through the process.

Insurance companies do not always play fair. If your health insurance provider has denied your claim, you can appeal the denied claim.