What to Do When The Insurance Company Says No

Families may not know that they have options when a private health insurer or Medicaid denies a claim or reduces or eliminates a service.

BY Lauren Agoratus, M.A. | August 2019 | Category: Healthcare

What to Do When The Insurance Company Says No

There can be both internal and external appeals processes depending upon the type of plan. An internal appeal is a second look by the insurance company by representatives not involved in the original decision. An external appeal is when a neutral third party independently reviews the documents. 

 Services needed by children with special health care needs can be medically necessary, required under the Individuals with Disabilities Education Act, or both.

Click here to read the whole article.