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


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