Is it possible for an insurance company to deny your claim because you have a primary and they can not be a secondary?

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Conference the 2 claims reps together and let them Duke it out!
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Can secondary insurance pay claims that are denied by Medicare?

That would be covered under the terms of your policy. In general that is what supplemental, (secondary) insurance is primarily for. Most "supplemental" plans pay the 20% that Medicare didn't pay only AFTER seeing an "explanation of benefits" statement--i.e. proof that Medicare paid their part. If M (MORE)

With Primary and Secondary Insurance your primary denied your claim because it was over a year is your secondary obligated to pay?

Answer . Yes, subject to the limits in their policy.. Answer . No. With most insurance policies, there is what is called a timely filing limitation. For my company; contracted providers have 6 months, and non-contracted providers have 12 months to submit the claim. If your primary insurance r (MORE)

Can the insurance company deny a claim after an injury investigation?

There may be exceptions, but under most policies you are covered as long as your son had your permission to drive the car. At one time there was an amendment on my policy stating that my car was NOT covered if my daughter was driving (after several tickets and three at-fault accidents), but that wou (MORE)

How can you appeal after a car insurance company has denied your claim?

In Virginia (and in most, if not all, states) there is an insurance bureau ( to which you can file a complaint if you feel your claim was wrongly denied. Theoretically, they provide some regulation of the insurance industry and protect consumers to some exte (MORE)

For what reasons can an auto insurance company deny a claim?

An auto insurance company can deny your claim if you haven't had your license for at least 18 months. or if the car has been sitting up (not running) for a while. they will need receipts from the repair man saying that the problem has just been fixed.

What reasons can a life insurance company use to deny a claim?

Answer . \nIf it is beyond the 1st two years, nothing short of dying while commiting a felony. They will deny the claim if the insured did not die! They will deny the claim until satisfactory proof of death. IS the policy over two years old?

Can you designate which of your insurance is secondary and which is primary?

Secondary medical insurance is a second level of insurance coverage. Under most circumstances, the two policies are independent of each other. One policy may pay for a service while the other may not. The primary policy must pay first, then the secondary. The choice of which policy is primary or sec (MORE)

Can the secondary insurance provider deny a claim that was not filed with the primary insurance provider first?

\n. \n Answer \n. \nLet me tell you what happend to me. I hope that this helps. I used to be covered by two insurance companies. My primary insurance company was through the company that I worked with. My secondary was with the company that my husband works with. When a claim was filed with (MORE)

Will gap coverage cover a totaled vehicle if the insurance company denies the claim?

GAP . No because GAP covers any GAP between what you owe on the car and the cars actual market value if the should your loan balance happen to exceed what your car is actually worth. If you owe $16,000 on a car but you owe 18,000, GAP would kick in and pay the remaining 2,000. You would still e (MORE)

Primary and secondary health insurance?

You could have two insurance companies pay the same medical bill or claim for a date of service through a process of subrogation where the first insurance company determined by the effective date of coverage will pay their portion of the bill and the second insurance company will pay the balance. Th (MORE)

When you have a primary and secondary insurance will the co-pay from your primary insurance be paid by the secondary insurance?

I have insurance paid for by my employer (primary) and through my husband's employer (secondary). In my experience, I have never had to pay the copay required by my primary because it is covered by my secondary. When I first got married, 2 years ago, I still paid the copay, but the doctor's office w (MORE)

What is primary and secondary dental insurance?

If a husband and wife both have dental insurance through their employers, the employee's insurance is primary when the employee is the patient, and it must pay it's benefits. The spouse's insurance is secondary, and will only pay once the primary insurance has paid. Depending on how the policy is wr (MORE)

Do long term care insurance companies pay benefits when the insured goes blind because of macular degeneration or do they deny the claim and say he can still do activities of daily living?

Any illness that may lead to vision impairment necessitates theneed for long-term care. Even people suffering from glaucoma whichmay lead to blindness may claim benefits for ltc, technically, onceyou are blind, you can no longer perform all of the activities ofdaily living on your own. Benefits trig (MORE)

Can the insurance company deny a life insurance claim if the insured dies before they receive the application and premium?

Yes, the insurance company can deny a life insurance claim in the event of death before the company receives the application and premium. The question uses the word "insured" but at this stage in the process, the correct description would be "applicant" or "proposed insured". Life insurance protecti (MORE)

If your insurance company denies the other persons claim can the other persons insurance deny your claim?

Perhaps the best answer is "yes and no". If your auto insurance company denied the claim of another party with whom you had a collision, it was either because you did not have liability coverage to protect you from the claim, or because your insurer, after investigating, did not believe that you wer (MORE)

If a person has two Medical insurances and the primary denies due to preexisting will the secondary pay?

It depends on a few things. If your primary insurance is say less than 2 years old, they can deny claims to determine whether the condition is pre-existing. If you have had the secondary policy longer/ or the pre-x period has already been satisfied, then they may pay the claim as secondary. As long (MORE)

How are primary and secondary insurance determined?

It is usually written in an insurance policy if the policy is primary or secondary. If both policies have language that makes them secondary if other insurance is present then they may split the amount owed. State laws may change this.

Is it possible to ask a car insurance company to stay away from filing a claim?

Assuming that you have collision coverage, you are under no obligation to have your insurer pay for the repairs to your car. You are free to pay for the repairs yourself. If there was another vehicle involved, and you were at fault for the collision, other considerations exist. The other person inv (MORE)

What prohibits an insurance company from denying a claim?

Nothing prohibits an insurance company from denying a claim. An insurance policy is a legal contract binding on both parties. One party agrees to certain obligations such as telling the truth on the application for insurance and paying the premiums and the other party agrees to pay covered claims on (MORE)

Can an insurance company deny a claim if it has paid a claim three times for a roof to be fixed and it was not fixed And will the new insurance company fix a roof after being with them only 3 months?

Yes, they can deny the claim. If a loss payout was already issued by an insurance company, it was the insureds responsibility to make the repairs with the funds provided. The company is not required to pay the same claim twice. If the insured fails to make the repairs you can not seek those same (MORE)

Is it legal for a dental insurance company to deny coverage as a secondary provider?

Yes, it can be and no it may not be. You did not give enough information for a determination. Usually, the primary carrier pays their maximum, then the secondary carrier pays some or all of the portion of the procedure that is left BUT not more than the claim itself or more than they would have pa (MORE)

How do you get a denied life insurance claim paid?

There are a few things you can do if you have a life insurance death claim that was denied. What you should not do is try to dispute the denial by yourself. Disputing death claims should be handled by a professional who has a lot of experience dealing with life insurance denials. So two options: 1. (MORE)

What are 3 reasons a claim could be denied by an insurance company?

A claim can be denied for a number of reasons, but three examplesare" 1. The policy was not in force at the time of the loss. This canoccur if the policy never went into force (such as due to the firstpremium not having been paid), or because it lapsed becausesubsequent premiums were not paid. 2. (MORE)

Why would a medical insurance company deny a insurance claim 3 reason?

The 3 reasons why an insurance co. can deny an insurance claim are:- 1) Pre-existing disease not disclosed at the time of taking thehealth insurance policy. 2) No Intimation notice regarding admission to hospital/nursinghome submitted to the insurance co. or TPA immediately on admission of thepatien (MORE)

How do you sue Insurance company for deny claim?

Being going for legal tussle, it's better to approach InsuranceOmbudsman under whose jurisdiction your Insurance Co. falls withall papers/documents. However, their verdict will be binding onboth you and your insurer.