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denied insurance claims

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D

dlp5869

Guest
Indiana
I had sergiry for sleep apnea. My insurance company said I needed pre-approval and so did my doctor. My doctor and I both called the pre-certification number on my insurance
card and got approval. The insurance company started to pay
the claims after the sergery then denied all claims and wanted their money back for claims they paid. I couldn't
find an atterny who would help me. My qeustion is how long do I have to appeal the insurance companies denial, and where can I find someone to help me with this problem.
 


ALawyer

Senior Member
What was the basis for denial of the claim? If you lied on the application for insurance and the policy had been recently (within 2 years) issued, the fact that they gave "pre-approval" for this procedure is not a bar to suing to rescind or deny claims.

IF this is an old policy write the insurance department.
 

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