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from our blog


August 26, 2014

Better Health Care Provided to AZ Workers

Recent reports indicate Arizona is one of the best employers concerning employee health benefits to workers. Workers in Arizona pay a smaller share of their overall bill compared to the majority of state workers anywhere else in the country. According to analysts, Arizona regularly conducts surveys to compare their benefits on the national stage. The […]

 

Insurance Claim Appeals See High Success Rates

For some lucky people, the insurance system is efficient, functional, and fair, but to many more, it is a complicated and frustrating quagmire. It can be all too easy to get bogged down in a system designed to refuse compensation by any means necessary, and for the many who find that they are treated guilty-until-proven-innocent, it can be hard to find a solution.

Luckily, even if your initial claim was denied, there are still options. When people find themselves in similar situations and file an appeal, they often find a surprising amount of success. In fact, numbers show that those who appeal their health care claims through a 3rd party win their appeal roughly half the time.

While it is natural for those who were initially wrongfully denied to see their denial as unfair business practices, reports on appeals also mention that clerical errors are common as well, making it sound as if simple human error is to blame for the initial hiccup. One such report by the Government Accountability Office (GOA) found that in certain situations, up to 40% of all initial claims were denied for reasons such as duplicate claims, incomplete forms/information, and billing errors.

So do not worry if you filed a claim and had it denied. There are still very successful options available to you.

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  • Shane Harward Law Offices of Shane L. Harward PLC

    10575 North 114th Street
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    Scottsdale, Arizona 85259

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