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    5 Steps

    How to Dispute an Insurance Claim Denial

    Internal appeals, external reviews, and regulatory complaints for denied health, auto, and homeowner insurance claims.

    Steps

    1

    Get the denial in writing

    Request a written explanation of why your claim was denied. The insurer must cite the specific policy provision or reason. This is required under most state laws and ERISA.

    2

    Review your policy carefully

    Compare the denial reason against your actual policy language. Insurers sometimes deny claims based on incorrect interpretations or apply exclusions that don't actually apply.

    3

    File an internal appeal

    Most insurers have a formal internal appeal process. Write a detailed appeal letter citing the specific policy language that supports your claim. Include any additional evidence.

    4

    Request an external review

    If the internal appeal is denied, you have the right to an independent external review (required by the ACA for health insurance). The external reviewer is not employed by the insurer.

    5

    File a state insurance commissioner complaint

    If external review fails, file with your state's insurance commissioner. They have regulatory authority over insurers and can order claim reconsideration.

    Expert Tips

    50% of denied health insurance claims are overturned on appeal — always appeal
    Under ERISA, employer-sponsored plans must provide written denial reasons within 30 days
    State insurance commissioners can impose fines and sanctions on insurers
    Keep a detailed log of every phone call including date, time, person, and what was said

    Relevant Laws

    • ERISA § 502(a) for employer plans
    • ACA external review requirements
    • State insurance commissioner regulations
    • State UDAP for bad faith denial
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