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Resolving Claims Disputes

Has your insurance company refused to pay for your medical services? Find out more about how insurance companies make claims determinations, and how to appeal decisions that you disagree with.
How to Resolve a Claims Dispute
Information on resolving claims disputes with your health insurance company, including resources on external review.
A Consumer Guide to Handling Disputes
A helpful guide that walks you through the process of appealing a claims denial through your insurance plan, and then escalate with your state’s insurance department if necessary. Includes state-specific information.
Links to State Insurance Department Websites
Sometimes, you need to get your state’s insurance department to help you resolve a health insurance claims dispute. Find contact information as well as help for filing claims appeals on your state’s site.
How to Win an Appeal of a Denial
Helpful tips for getting your insurance company to pay your claim.
Avoid Claim Denial
Information on how to avoid claims denials, and tips on winning an appeal. Includes sample appeal letters.
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