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H
htanner Asked January 2016

Can I dispute this denied health insurance claim?

Ok when I terminated my coverage they told me I was covered till my termination date which was 11/15/2015. I had to go to the doctor around 11/06/2015. Note I already paid my health insurance payment before I terminated it. Well I just got a bill from the doctor saying my claim was denied due to no coverage. Does the insurance company have to pay it since I technically had coverage?

Llamalover47 Jan 2016
Yes, there is always a way to file a complaint.

JoAnn29 Jan 2016
See if they go by date of service or when the bill was actually put thru. If you had insurance up till the 15th than u are covered. The person doing your claim may have made a mistake.

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vstefans Jan 2016
Yeah, they have to pay - they just don't want to, and hope you wont bother to make them. Veronica 91 is talking about COBRA which can be pricey but probably less so than a medical bankruptcy; I know because I have it for my daughter who turned 27 in Decemeber.

cak2135 Jan 2016
Insurance companies can be a bunch of big, dumb turkeys. I worked for one for 15 years

peterK Jan 2016
Insurance companies make mistakes all the time. Call them.

Veronica91 Jan 2016
You can of course dispute the bill. Have you taken advantage of continuing on your employers insurance for as many months as is allowed? Can't remember what it is called right now. You have a certain length of time to elect this and it may be as short as 2 months which may mean you have to do something today. if you already have insurance from a new employer that won't help you

geewiz Jan 2016
Is this employer based insurance or personally owned coverage? If Employer, call the HR department and seek assistance from them. If you owned the coverage on your own, you will have to call the claims help number and see what the issue is. And yes, all insurance claims can be appealed. BUT if coverae ended before the date of service, it may not change anything.

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