Tips for your appeal after a denied claim in California

Has your claim been denied, and do you think it was wrongfully denied? If so, you may have the ability to start an appeal in California. These tips can help you as you work your way through the process.

First, look into the specific reason for the denial. You must be informed of the reasoning behind the decision. Once you know why that decision was made, you can make your appeal more specific to target that reason.

As you begin, look for the simple things first. Maybe you just entered some data into the wrong field, maybe you misspelled a word, or maybe you left out some information. A lot of claims are denied for these types of things, which you can typically clear up in a hurry. Don’t stress about it too much until you look into these factors.

Make sure that you also know the exact process that has to be followed, the specific steps to take, and the paperwork that you need. Getting close is not good enough. You’re not going to win your appeal unless you do everything by the book. Do not rush, but take your time and make sure that it’s all done correctly.

Finally, keep the important dates in mind. There is typically a timeline that must be followed or a date by which your appeal must be in. You don’t want to lose an appeal that you would have won just because you are a week late.

When the denial comes in, it can be frightening, but it’s good to understand these tips and your right to an appeal so that everything can get sorted out.

Source: Nerd Wallet, “10 Tips for Appealing a Denied Health Insurance Claim,” Andrew Fitch, accessed April. 09, 2015