Insurance denial answers in plain English
Pick the reason on your letter, or start with how to read it. Every answer is for patients and lists its sources.
Why was my claim denied?
- Your claim was denied as not medically necessary. Here is what to do.
- Your dental claim was denied. Here is what it means and what to do.
- How long do you have to appeal a denied claim?
- My dental crown claim was denied. What now?
- My claim was denied for a billing or coding error. What do I do?
- Your claim was denied because you had no referral. Here is what you can do.
- Denied because the insurer says you have other insurance
- Denied because of a pre-existing condition
- Your claim was denied as "not covered" or excluded. Is that the end?
- Your claim was denied for being filed too late. Here is what that means and what you can do.
- Denied as a duplicate claim: what it means and how to fix it
- My emergency room visit was denied. What now?
- Denied as "experimental or investigational"? Here is what it means and how to push back.
- My claim was denied because the provider was out of network. What now?
- My prior authorization was denied. What now?
Read your paperwork
Appeal and what comes next
- Can I appeal a denied claim without a lawyer?
- My appeal was denied. What now?
- How to request an independent external review of a denied claim
- How to write an insurance appeal letter
- Internal appeal vs external review: what is the difference?
- What your doctor should put in a letter of medical necessity
- What is a peer-to-peer review, and should my doctor ask for one?
- My insurance denied the claim but the provider says I owe the bill
Medicare and Medicaid
Have the letter? Text a photo to (213) 606-6303. Free, no account, no form.