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What else can I help you with?
If you have medicare and they make a payment to a hospital that accepts medicare can blue cross as your secondary deny payment?
NO, not unless those services are a direct exclusion of your BCBS policy.
Is it possible for an insurance company to deny your claim because you have a primary and they can not be a secondary?
Conference the 2 claims reps together and let them Duke it out!
How long does an insurance company have to accept or deny a claim?
In most states an insurer has up to 60 days to accept or deny a claim. Save
If my friend got into a car accident in New York and didn't inform me of it for a year Can the insurance deny the claim even if I wasnt aware of it and reported the claim as soon as I found out?
They do have a right to deny the claim.
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 paid if their contract was primary. Here are some reasons why it could be legitimate to deny your claim. You could have hit the limits of the secondary policy. There could be a provision in the secondary policy that it does not cover the procedure that you had or that says it does not pay anything if it is secondary. The latter is somewhat unusual but worth checking for. Did you ask the carrier why they denied it? If they do not point to a specific provision in your contract, ask them to. If they do not, your state Insurance Department should have a consumer representative that you can ask for help in determining whether it was legitimate for them to deny coverage.
If you lie to your insurance?
If they find out you lied they can deny the claim.
How long for auto insurance company to accept or deny a claim?
In most states in the U.S. An insurer has up to 60 days in which to investigate a loss and accept or deny a claim
What reasons can a life insurance company use to deny a claim?
If 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? 4lifeguild.com
Why drop an auto insurance claim?
Once you submit an auto insurance claim can your provider deny it?
With Primary and Secondary Insurance your primary denied your claim because it was over a year is your secondary obligated to pay?
Yes, subject to the limits in their policy. 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 received the claim within timely filing, you may have the option of submitting the claim to your secondary with proof that it was filed in a timely manner. If that doesn't work you can always appeal the decision with the secondary or for that matter the primary insurance company. Policy holders are not responsible for claims that deny for timely filing.
Can Insurance deny claim for accident death due to ethanol intoxication?
Can Insurance deny claim for accident death benifit due to ethanol intoxication when insured had policy for 10 years?
Can A payer cancel a patients policy or deny payment on a claim if the patient failed to disclose a preexisting condition?
The insurer could cancel a policy only if the patient had committed fraud on the application. This was part of the health reform law of 2010, limiting the insurer's ability to end a person's coverage. So, for example, if you had lied about being married to someone on your application for family coverage, they could cancel your policy. They can deny a claim, if it is for a service for a pre-existing condition AND you had a gap in your health coverage of at least 63 days before joining their plan. When the insurer gets a claim for an ongoing (chronic) illness like diabetes or depression in a new member's first month of coverage, they may deny the claim or notify you to send them proof of "creditable coverage." This is a form that you would request from your previous insurer. If you do not have a previous plan or you have been uninsured for more than 63 days, then they will deny the claim.
