This video addresses the issue of claim denials in the insurance industry and what to do if you get a claim denial from your insurance company.
- Claim denials are relatively common, affecting 5-10% of all medical claims.
- Denials may occur for reasons like incomplete claim forms, duplicate submissions, or services not covered by the plan.
- Not all denials are final; some can be appealed or rectified.
- It’s crucial for policyholders to communicate with their insurance company or broker to understand the reason behind a denial and to seek advice on possible next steps.