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


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