What to Do When Your Insurance Denies a Claim

Receiving an insurance denial can be overwhelming. But denials are not the final word — you have the right to appeal, and a significant percentage of appeals are successful. Here's exactly what to do.

Immediate Steps After Receiving a Denial

1. Don't Panic — and Don't Ignore It

Insurance denials are reversed more often than you think. Studies show that patients who appeal win roughly 40-60% of the time, depending on the type of denial.

2. Read the Denial Letter Carefully

Your denial letter must include:
  • The specific reason for the denial
  • The plan provision or clinical guideline used
  • Your appeal rights and deadlines
  • Contact information for filing an appeal

3. Understand the Denial Reason

Common denial reasons:
  • Not medically necessary: The insurer doesn't think you need the treatment
  • Not covered: The service isn't in your plan
  • Prior authorization required: You didn't get pre-approval
  • Out of network: The provider isn't in your plan's network
  • Experimental/investigational: The insurer considers the treatment unproven

4. Gather Your Evidence

  • Medical records supporting the treatment
  • Your doctor's recommendation letter
  • Peer-reviewed studies showing effectiveness
  • The insurer's own clinical guidelines (often available online)
  • Any relevant state or federal laws

5. File Your Appeal

  • Write a formal appeal letter
  • Include all supporting documentation
  • Send via certified mail (keep copies of everything)
  • File within the deadline specified in your denial letter

6. Know Your Escalation Options

  • Internal appeal → External review → State insurance commissioner → Legal action

Key Deadlines

Most plans allow 180 days to file an internal appeal, but check your specific plan. Urgent appeals can be expedited to 72 hours.

Need Help Writing Your Appeal?

Our AI-powered tool analyzes your denial letter and generates a personalized appeal in minutes. Upload your denial and get started for free.

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Frequently Asked Questions

How often are insurance denials overturned on appeal?

Studies show that 40-60% of insurance appeals are successful. The rate varies by type of denial and the quality of supporting documentation submitted.

Should I hire a lawyer for an insurance appeal?

Most initial appeals don't require a lawyer. However, if you're dealing with a large claim, an ERISA plan, or have been denied multiple times, consulting a patient advocate or health insurance attorney may be worthwhile.