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  2. Your health insurance says, 'Claim denied.' How to fight back

    www.aol.com/news/health-insurance-says-claim...

    A letter arrives in the mail. Oh, great: It's from your health insurance company. It contains some variation on the phrase "Your claim has been denied" and possibly "You may file an appeal to ...

  3. Health Insurance: How To Handle a Claim Dispute - AOL

    www.aol.com/health-insurance-handle-claim...

    Follow the steps to make an appeal, and note whether there is a deadline for making the appeal. You also should contact your doctor or the hospital who provided the services that are related to ...

  4. There Are Steps You Can Take if Your Insurance Claim Was Denied

    www.aol.com/finance/steps-insurance-claim-denied...

    However, if you do need to file a claim, your insurance company can, and may, deny it. There are some steps you can take next. But first, let’s take a look at the possible reasons why an ...

  5. Explanation of benefits - Wikipedia

    en.wikipedia.org/wiki/Explanation_of_benefits

    An explanation of benefits (commonly referred to as an EOB form) is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. [ 1] The EOB is commonly attached to a check or statement of electronic payment. An EOB typically describes: the payee, the ...

  6. Demand letter - Wikipedia

    en.wikipedia.org/wiki/Demand_letter

    A demand letter, letter of demand, [ 1] (of payment), or letter before claim, [ 2] is a letter stating a legal claim (usually drafted by a lawyer) which makes a demand for restitution or performance of some obligation, owing to the recipients' alleged breach of contract, or for a legal wrong. Although demand letters are not legally required ...

  7. Refusal of medical assistance - Wikipedia

    en.wikipedia.org/wiki/Refusal_of_medical_assistance

    The refusal of medical assistance, or RMA, ensures the continuum of care that ambulance squads have a responsibility towards. In a typical emergency call, the ambulance service will assess and transport the patient to an appropriate facility. The ambulance squad's duty towards the patient begins with patient contact and generally ends with ...

  8. Utilization management - Wikipedia

    en.wikipedia.org/wiki/Utilization_management

    Utilization management. Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers, particularly health insurance companies, to manage the cost of health care benefits by assessing its appropriateness before it is provided using evidence-based criteria or guidelines.

  9. What to do if a car insurance company denies your claim - AOL

    www.aol.com/finance/car-insurance-company-denies...

    Most insurance companies have a process in place for you to contest a denied claim. Here are some steps to consider taking in appealing an auto insurance claim decision: Gather evidence: Review ...

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