A member asked:

How would i file an appeal with my health insurer if my doctor was not paid?

4 doctors weighed in across 2 answers
Dr. Francisco Agullo answered

Specializes in Plastic Surgery

Doctor: Your doctor's office will usually appeal directly with your insurance.

Answered 7/3/2012

5.8k views

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Dr. William Kirsh answered

Specializes in Family Medicine

3 levels of Appeals: Based on the type of insurance, HMO, PPO, etc. or self-insured plan, there are various rules that must be followed by insurance organizations. The best place to start is to contact your state's department of insurance and get the rules to follow regarding claims appeals and service appeals. See the following web site: http://www.naic.org/state_web_map.htm.

Answered 9/28/2016

5.2k views

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