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


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