Fighting Denied Health Insurance Claims

Web Admin - Friday, January 06, 2017

Rolling Meadows insurance dispute lawyersAccording to data from the health insurance industry, approximately one in 14 of all health insurance claims are denied by the insurance companies. Worse yet, only about half of all patients who appeal their claims end up winning. Much of the time, this subsequent denial is due to a lack of experience or understanding of the health insurance appeals process. If you or someone you love is facing a denied health insurance claim, the following information can help. 

Understanding the Most Commonly Denied Claims

Before going up against a denied claim, it is important to understand why it was not covered by your insurance company. This can help you plan a strategy, and may even provide you with the knowledge you need to fight back. For example, you might receive a denial for an unauthorized service or procedure if your doctor failed to receive preauthorization. Alternatively, the denial could be due to an error in coding (the method doctors use to bill for procedures), or because a critical piece of data was entered incorrectly. This happens in about 10 percent of all claims. Other reasons that a claim might be denied could be related to a billing for the same procedure on the same day, or because you have allegedly exceeded the maximum number of times a procedure is allowed. Denials because a plan does not cover a procedure are also common. 

Why Patients Should Not Try to Fight Denied Claims Alone

Although patients can and sometimes do fight back against denied claims on their own, it is highly discouraged. This is not just because you could be denied, yet again, possibly leaving you responsible for a bill you cannot and should not pay, but also because the process is difficult and complex. It is an added stressor in your life - one that you may not need. This can be especially true for those who suffer from severe and/or chronic injuries, illness, or disabilities since they are more prone to insurance claim denials and far more likely to struggle with the appeals process due to a lack of time and/or energy.

Our Rolling Meadows Insurance Dispute Lawyers Can Help

Fighting a claim does not have to be an impossible feat. Instead, let Drost, Gilbert, Andrew & Apicella, LLC help you with the process. We handle all the legal details, protect your interests, and fight for a favorable outcome. Learn more about how we can assist you. Call 847-934-6000 and schedule your consultation with our Rolling Meadows insurance dispute lawyers today.

Ken ApicellaAbout the Author: Attorney Ken Apicella is a founding partner of DGAA focusing in the areas of personal injury, employment, insurance coverage disputes, and civil litigation. Ken earned his J.D. from DePaul University College of Law in 1999. He has been named a SuperLawyers Rising Star and a Forty Illinois Attorneys Under Forty to Watch. Ken has written and lectured for the Illinois Institute for Continuing Legal Education and regularly serves as a moderator at Northwest Suburban Bar Association's Continuing Legal Education seminars.


Recent Posts


Arlington Heights insurance attorney vacation home employee misclassification Rolling Meadows life insurance claim denial attorney rent to own real estate contracts residential real estate Illinois personal injury Barrington employment attorney driving real estate attorneys field sobriety test medical malpractice compensation blood alcohol content loss of consortium natural gas personal injury accidents power of attorney for healthcare Illinois corporate lawyer whistleblower protections criminal defense Illinois probate lawyer Retaliatory Discharge distracted driving accidents Illinois traffic laws first degree murder Palatine insurance lawyer Illinois employment attorneys Illinois workers compensation lawyer Inverness real estate lawyer Palatine traffic lawyer Chicago lawyer federal regulations for LLCs employment law Illinois construction accident attorney manufacturing guardianship attorney Des Plaines accident attorney suspended license Schaumburg personal injury lawyer life insurance policy insurance claim denials Crystal Lake criminal defense attorney boating under the influence operating agreements Chicago life insurance attorney breathalyzer test Illinois small business back injuries Des Plaines drug crimes lawyer Rolling Meadows personal injury attorney Schaumburg estate planning lawyer Barrington estate planning lawyer Crystal Lake personal injury lawyer Illinois red light cameras Rolling Meadows car accident lawyers internet IRA trust transfer new real estate form Barrington life insurance lawyer Illinois workplace lawyer living trust vs will consent to a search personal injury claim federal crimes Schaumburg estate planning attorney Barrington business law firm insurance dispute, insurance dispute lawyers, insurance claim denial, insurance claim delays, Rolling Meadows insurance dispute attorneys Palatine drug lawyer probate claims process Barrington real estate lawyer Illinois estate planning attorney elder law sexual harassment Illinois Trust Code homestead rights Illinois boating accident lawyer digital information ken apicella Arlington Heights car accident lawyer Buffalo Grove employment lawyer Des Plaines criminal attorney Attorney Ken Apicella texting and driving IRELA caretaker rights Long Grove estate planning attorney Arlington Heights traffic attorney insurance agents beneficiary complications brain injury BAC Illinois personal injury lawyer Joliet general practice lawyers rest breaks Crystal Lake bike accident lawyer Illinois job attorney Crystal Lake will lawyer Des Plaines real estate attorney texting while driving Buffalo Grove injury lawyer Illinois traffic attorneys reckless homicide modern family estate planning Crystal Lake estate planning lawyer golf accidents Legal Info condo estate planning, death tax, succession plans, business estate plans, Barrington estate planning lawyers car collision income distribution deducation wage theft sexual images drugs mass shooting Arlington Heights Attorney Illinois estate planning DUI attorney Buffalo Grove car accident lawyer Des Plaines tax law firm IRS pregnant women low-ball insurance settlement Barrington employment law firm insurance claim denial power of attorney personal injury law firm employee rights Chicago insurance claim attorneys probate lawyer slip and fall controlled substance license reinstatement hit and run accident Chicago will attorney Illinois motorcycle accident lawyer Palatine Attorney Liquor Control Act Schaumburg wrongful death attorney Arlington Heights personal injury attorney employment contract changes to mortgage law rollover car crashes nursing home negligence spinal cord injuries dram shop law Inverness civil lawyer cell phone tower data DMV car accidents Illinois defective products attorney Barrington criminal defense lawyer Illinois insurance disputes Barrington employment law attorney Illinois pet lawyer medical marijuana Rolling Meadows estate planning attorney Crystal Lake car accident attorney insurance claims Jay Andrew how to avoid common denials of life insurance claims Illinois insurance claim attorney defective products Buffalo Grove corporate attorney drug crimes lawyer Schaumburg employment law attorneys pay when paid contract filing a medical malpractice claim Barrington medical malpractice lawyers real estate lawyer ACA denial of life insurance Des Plaines civil attorney Chicago attorney anesthesia errors contracts Chicago car accident lawyer traumatic brain injury life insurance claim denial, denial of life insurance claim bike accident Rolling Meadows employment attorney crossover accidents real estate zoning Des Plaines DUI attorney car accident lawyer speeding DNR Schaumburg estate attorney traffic deaths trucking accident lawyers Arlington Heights wills and trusts attorney commercial leases liens Illinois rollover accident lawyers Illinois personal injury attorney underfunded trust landlord health insurance dispute Barrington estate planning attorney Illinois jet ski accident lawyer LLCs healthcare Arlington Heights Traffic Lawyer creditors Illinois estate planning law firm Crystal Lake traffic attorney Illinois lawyer life insurance lawyer Illinois medical malpractice case Mt Prospect Attorney Arlington Heights real estate lawyer Illinois employment laws real estate contract Crystal Lake employment lawyer probate fees Illinois medical malpractice claim employees unauthorized overtime traumatic brain injuries premises liability Illinois employment law attorney Schaumburg traffic lawyer Long Grove estate planning attorneys Whistleblower Claims wrongful termination personal injury attorney corporate law Palatine injury attorney Crystal Lake employment attorney liability claims pedestrian accident drunk driving Illinois insurance dispute lawyers Palatine employment lawyer drug crime Schaumburg criminal law attorney Crystal Lake employment law attorney Barrington personal injury attorney estate planning, digital assets, Revised Uniform Fiduciary Access to Digital Assets Act, Illinois digital assets, Illinois estate planning, workers comp Buffalo Grove traffic lawyers fatal car accidents medical malpractice dynasty trusts Illinois insurance claims lawyers insurance claim dispute life insurance Long Grove real estate attorney pedestrian accidents PTSD Barrington civil litigation attorney Deer Park employment law attorney probate Illinois business law atorneys compensatory time Palatine probate lawyer digital assets, digital fiduciary, estate planning, digital content, Long Grove estate planning lawyers Schaumburg life insurance attorney Arlington Heights criminal lawyer Illinois insurance attorney TBI digital evidence Arlington Heights wills and trusts lawyer DGAA motorcycle accident pet law insurance attorney Food and Drug Administration's Food Safety Modernization Act problem employees Illinois traffic attorney Class A misdemeanor trauma after an accident Illinois insurance claim dispute lawyers Illinois civil litigation lawyer Illinois Smoke Detector Act employment lawyer Illinois medical malpractice lawyers insurance denial appeals Crystal Lake pet attorney insurance adjusters vacation home fines Palatine workers compensation lawyer personal injury lawyer Buffalo Grove criminal defense lawyer paid sick leave Illinois civil rights violation denial of insurance claim probate claims Schaumburg drug defense lawyer Home Sale Contingencies Deer Park traffic lawyer Palatine personal injury lawyer Barrington Illinois estate planning lawyer Illinois insurance lawyer estate planning lawyer pedestrian injuries, pedestrian fatality spinal cord injury Thanksgiving Crystal Lake pedestrian accident lawyer Illinois collections attorney senior citizens Crystal Lake insurance lawyer Rolling Meadows litigation lawyer marijuana crimes attorney capital gains tax Des Plaines personal injury lawyer DUI license suspension Arlington Heights employment law attorneys Palatine employment attorney trench injuries Exclusions employment law, meal breaks, rest breaks, hotel employees, Des Plaines employment law attorneys surgical mistakes Rolling Meadows employment law attorneys pet bites Rolling Meadows real estate attorney Rolling Meadows business lawyer Deer Park personal injury lawyer insurance claim elder abuse Barrington criminal lawyer Detainer Actions Des Plaines personal injury attorney product liability insurance dispute Inverness accident lawyer deed transfer Mount Prospect wills and trusts lawyers Buffalo Grove traffic attorney estate planning for college students Palatine real estate lawyer criminal record owner responsibility icy parking lots estate planning estate attorney Chicago employment lawyer Rolling Meadows traffic law firm Illinois home inspection Rolling Meadows insurance dispute lawyers Schaumburg personal injury attorney privacy Des Plaines collections attorney Illinois trusts attorney Crystal Lake car accident lawyer personal injury, auto accident injuries, delayed injuries, serious injuries, Des Plaines personal injury attorneys insurance disputes Rolling Meadows accident lawyer murder Palatine life insurance lawyer Arlington Heights tax lawyer Riverwoods estate planning lawyer Employment Discrimination Law Barrington litigation attorney Arlington Heights lawyer revenge porn digital assets dealing with problem employees Illinois attorney Arlington Heights TBI attorney food poisoning Arlington Heights pedestrian accidents home inspection lawyer car accident lawyers Illinois injury lawyer personal injury claims unpaid overtime cell phone involuntary manslaughter living wills Illinois Probate Act of 1975 llinois Real Estate Lawyers Association gift taxes Illinois traffic ticket lawyer Illinois workers compensation attorney workers compensation benefits hands free device Deer Park DUI lawyer Barrington injury attorney Rolling Meadows tax attorney Barrington drug crime attorney Crystal Lake medical malpractice attorneys Chicago corporate attorney Des Plaines real estate lawyer Deer Park medical malpractice attorney Crystal Lake medical malpractice law firm Illinois medical malpractice attorney forming a corporation in Illinois Transfer on Death Instrument social media after death Schaumburg civil litigation attorney drunk driving statistics Long Grove real estate lawyer Chicago trucking accident attorney Rolling Meadows probate lawyer Landlord Tenant Ordinance Illinois employment law firm Deer Park traffic accident attorney top life insurance claim denials Illinois wills and trusts medical malpractice claims job lawyers employment law, Illinois employment laws head on collisions Buffalo Grove life insurance attorney Buffalo Grove insurance claim dispute lawyers Illinois pedestrian accident attorney real estate closing Des Plaines insurance attorney Illinois Wage Payment and Collection Act bad faith insurance claims jet ski Barrington Traffic Lawyer Rolling Meadows insurance attorney Barrington attorney eluding a police officer Illinois living will FMLA Illinois personal injury lawyers Rolling Meadows drug defense attorney Buffalo Grove medical malpractice lawyers dog bites expungement Crystal Lake law firm work unions Schaumburg medical malpractice lawyer Forcible Entry products liability distracted driving accident victims Chicago insurance law firm Super Mario rumble strips Chicago traffic lawyer Illinois wrongful termination lawyer pedestrian-automobile accident Des Plaines pet law attorney material misrepresentation Self-Directed IRA Accounts probate process Chicago will attorney, social media platforms, Illinois estate planning lawyer, condo association jet ski accidents wrongful termination, employment law, whistleblower protections, Illinois employment laws, discrimination in the workplace severance agreements holiday statistics traffic offenses drug crimes living trust estate plan medical research Rolling Meadows criminal lawyer Palatine construction attorney Affordable Care Act Des Plaines claims law firm Rolling Meadows criminal attorney Des Plaines Chicago estate planning Des Plaines drug lawyer Kenilworth estate planning lawyer Schaumburg employment attorney Palatine law firm traffic violations defense in terrorem provision trusts Fourth of July Buffalo Grove probate lawyer Illinois car accident attorney overtime pay car crash irrevocable trust personal injury truck collisions Rolling Meadows boating crash lawyer Crystal Lake medical malpractice lawyer Rolling Meadows personal injury lawyers Illinois tax attorney Arlington Heights injury attorney Schaumburg insurance lawyers Illinois Sales Representative Act digital media accounts, estate planning, Arlington Heights estate planning attorney, Illinois traffic accident lawyer cause-of-death exclusions Arlington Heights trucking lawyer Illinois employment law Des Plaines motorcycle accident attorney right to work child safety Palatine business attorney medication errors Buffalo Grove law firm Illinois Transfer on Death Instrument Deer Park motorcycle accident lawyer traffic accidents insufficient documentation advance healthcare directive Des Plaines Traffic Lawyer Crystal Lake business law attorneys Inverness real estate attorney natural gas explosion Inverness insurance attorney Crystal Lake traffic lawyer underinsured motorist blended families Crystal Lake injury attorney pain and suffering GM ignition switches investment property Mount Prospect real estate lawyer Rolling Meadows insurance dispute lawyers, insurance dispute Long Grove estate planning estate planning attorney construction accidents, personal injury, wrongful death, Arlington Heights personal injury attorneys, workers' compensation Schaumburg elder law lawyer Arlington Heights employment attorney insurance disputes, Illinois insurance disputes, Illinois insurance dispute attorneys, denied insurance claims, Arlington Heights insurance dispute attorneys Schaumburg personal injury lawyers employee discrimination installment contracts Buffalo Grove real estate attorney Illinois real estate lawyer employment attorney startup company Arlington Heights wills and trusts lawyers clemency workplace sexual harassment boating DUI bicycle dooring accidents overtime violations gift tax exemption, estate planning, estate planning strategies, Illinois estate planning, South Barrington estate planning attorneys Illinois employment law attorneys life insurance claims Illinois registered agent Barrington personal injury lawyer Rolling Meadows insurance lawyer Rolling Meadows Traffic Lawyer Palatine corporate attorney Illinois DUI attorney Illinois trucking safety Arlington Heights medical malpractice lawyer Kenilworth estate planning attorneys criminal law Des Plaines personal injury lawyers comparative negligence Rolling Meadows DUI lawyer denied insurance claims Rolling Meadows Attorney Deer Park accident attorney Arlington Heights personal injury lawyer auto accidents School Visitation Rights Act Crystal Lake tax lawyer Buffalo Grove personal injury attorney Palatine civil litigation lawyer Schaumburg car accident attorney Palatine traffic accidents coronavirus independent contractor Crystal Lake accident attorney small business college kids cell phone accidents car accident South Barrington real estate lawyer Inverness elder law lawyer comp time Schaumburg real estate lawyer Rolling Meadows employment law attorney murder defense fiduciary rule delay agent Inverness corporate attorney Inverness traffic law firm most common reasons for life insurance claim denials unpaid assessment taxes trust payments Barrington boating accident attorney Illinois bicycle safety denied insurance claim Illinois driving without license appealing an insurance claim Illinois LLC creation Schaumburg injury lawyer traffic crimes Mount Prospect elder law attorney unfunded trust Illinois workplace discrimination attorney insurance dispute attorney breach of contract tax attorney Inverness estate planning lawyer Colin Gilbert automated cars minimum wage workers compensation Illinois criminal defense attorney Rolling Meadows traffic attorney swimming pools Inverness injury lawyer DUI defense uninsured motorist financial advisors Colin H. Gilbert Illinois business lawyer construction contracts insurance agent negligence Inverness probate lawyer Illinois elder law attorney Rolling Meadows corporate lawyer insurance claim delay Palatine punch death Deer Park real estate law firm Illinois real estate caregiver Inverness DUI lawyer DUI penalities Rolling Meadows marijuana attorney CAM Illinois insurance claim dispute lawyer Palatine civil attorney Illinois speeding lawyer Schaumburg Attorney fiduciary rule civil litigation attorney Fair Labor Standards Act Deer Park criminal attorney estate tax Crystal lake insurance dispute attorney Palatine corporate law attorneys lapse in policy Schaumburg criminal attorney Chicago estate planning lawyer Illinois Human Rights Act Palatine elder law attorney Illinois employee rights attorney. real estate leasing hiring employees traffic violations construction accidents subcontractor Federal Food Drug and Cosmetic Act South Barrington real estate attorney preventing accidents Chicago employment attorney Kenilworth estate planning attorney criminal FSLA institutional trustee Family Medical Leave Act foreclosed rental property drug possession landlord tenant law Illinois law Schaumburg construction accident lawyer liability civil litigation BAIID POA meal breaks commercial leasing trucking accidents Long Grove wills and trusts attorneys Arlington Heights car crash attorneys marijuana insurance negligence mortgage ObamaCare business litigation Arlington Heights wills and trusts attorneys license traffic laws Home Remodeling Repair Act fault based insurance estate planning trusts Buffalo Grove personal injury lawyer motorcycle accident lawyer real estate underage DUI preventable medical errors BUI Schaumburg corporate attorney boating accidents deadly crashes Inverness personal injury attorney Crystal Lake personal injury attorney wrongful death license revocation sole proprietorship living trust benefits Illinois Workers’ Compensation Commission Barrington workers compensation attorney defective products lawyer Palatine employment law lawyer traffic tickets murder charges slip and fall accidents employment contract, employment law, employment at-will, Deer Park employment law attorneys, contract, wills medical malpractice, missed diagnosis, delayed diagnosis, medical mistake, Deer Creek medical malpractice lawyers rollover accidents Palatine estate planning lawyer car crash injuries Arlington Heights accident attorney trustee no contest clauses insurance claim dispute attorney Do Not Resuscitate Schaumburg probate attorney car crashes Rolling Meadows Illinois wills and trusts attorneys Illinois employment lawyer special needs trust IRA benefits Rolling Meadows medical malpractice lawyers real estate attorney Palatine trusts lawyer commercial real estate Schaumburg disability benefits Illinois mortgages privacy laws Rolling Meadows personal injury lawyer healthcare claims Arlington Heights estate planning attorney accidental death benefits Deer Park workers compensation lawyer insurance denials Policy Cancellation Illinois will lawyer wills and trusts Crystal Lake civil litigation lawyer bicycle accidents attorney fees Des Plaines medical malpractice attorney foreclosure Chicago biking tips Des Plaines injury law firm loopholes pizza emoji Palatine criminal defense lawyer