Appeals – Insurance « Insurance

Articles and Publications related to
the Insurance Appeals Process

If a health insurer refuses to pay a claim or ends coverage, the insured person has the right to appeal the decision and have it reviewed by a third party. The insured individual can ask that their insurance company reconsider its decision. Insurers have to tell the insured person why they've denied the claim or ended the coverage.

Publications

• A Patient's Guide to Navigating the Insurance Appeals Process (Patient Advocate Foundation) 
  This publication has been created to help patients navigate the appeals process when faced with a denial of coverage or reimbursement for services outlined in their insurance plan.