When it appears a legitimate claim is going to be denied, I recommend immediately opening a case with your state’s insurance regulator. If it’s an employer sponsored plan, the Dept of Labor. Success is not assured, but it creates a paper trail for regulators and other interested parties, including attorneys you might eventually involve.
That’s a great tip. I remember wanting to report this to some authority then but just didn’t have the time to deal with it. I wonder if I can still do it now after this has been settled (the claim was eventually paid, months late, after many many hours spent on phone calls).
Comments
When it appears a legitimate claim is going to be denied, I recommend immediately opening a case with your state’s insurance regulator. If it’s an employer sponsored plan, the Dept of Labor. Success is not assured, but it creates a paper trail for regulators and other interested parties, including attorneys you might eventually involve.
(volunteer patient advocate)
That’s a great tip. I remember wanting to report this to some authority then but just didn’t have the time to deal with it. I wonder if I can still do it now after this has been settled (the claim was eventually paid, months late, after many many hours spent on phone calls).
You can still file a complaint even if the issue has been resolved. It will be logged.