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


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