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How Often Are Health Insurance Claims Denied?

By Caroline Cornell

March 17, 2023

Home » FAQs » How Often Are Health Insurance Claims Denied?

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Health insurance claims are denied on a regular basis. According to a recent study, nearly 20 percent of all health insurance claims sent to non-Group qualified health plans offered on are rejected in the United States. The main reasons for denials are lack of information or incorrect information on the claim forms, insufficient coverage, preexisting conditions, and exceeding the policy limits. In some cases, the insurer might deny the claim if they think the medical care was not medically necessary.



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