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Understanding Claim Disputes

A claim dispute occurs when you disagree with an insurance decision regarding your claim. We’re here to help you through the process.

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Common Reasons for Disputes

  • Denied claims
  • Partial payments
  • Coverage questions
  • Network status issues
  • Coding errors

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Dispute Process

  1. Review the Explanation of Benefits
  2. Gather supporting documentation
  3. File formal appeal
  4. Wait for review (typically 30 days)
  5. Receive decision

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How We Can Help

Our advocacy team will:

  • Review your case
  • Collect necessary documentation
  • Communicate with providers
  • Submit appeals
  • Follow up on your behalf