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


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