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Why do health insurers deny claims?

By Caroline Cornell

December 29, 2022

Home » FAQs » Why do health insurers deny claims?

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Health insurers may deny a claim due to errors in medical records or if they believe the treatment is not covered by a policy. A treatment may be uncovered because it was out-of-network, lacked pre-authorization, is deemed to be “cosmetic” or “experimental” in nature, or a similar reason. If your claim is denied and you believe your health insurance company is in the wrong, you may be able to dispute the decision with help from a lawyer.



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