Question:
When you are denied by your insurance what is the next step

I'm in the beginning of trying to get approve for sugery I want to know if the insurance company denies you and there is no exclusion in your policy do you appeal yourself or use WALTER LINDSTROM    — shae7755 (posted on August 17, 2003)


August 17, 2003
I would not use an attorney unless I had a really good reason - you should be able to handle things yourself at this stage. You need to be clear about the exact reason you are denied, and either point out their error or fix what they want on your part. You can email me if you need more help on this, be happy to try.
   — bethybb

August 17, 2003
If you are denied, let us know here exactly why you were denied. Lots of folks have been through it and successfully appealed a denial. If you are just starting the process, make sure you call your insurance company and ask what criteria they use for approval, then make sure you meet all the criteria before your first request is submitted. It's far easier to be approved the first time if your ducks are all in a row!
   — koogy

August 28, 2003
I was denied by Aetna because I needed to appeal within 30 days. I did the 6 month diet and now they say that I waited to long to appeal. So, now what do I do? Reapply as a new claim. How many times can you appply for this surgery?
   — greg17




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