The point: it's very important to disclose everything in an insurance application to
avoid claim denial.
Not exact matches
Claim reversals — We work hard to reverse
claims denials when insurers
avoid coverage responsibility for losses due to water damage to a home, the aftermath of a fire, theft, vandalism or flood, or when a carrier fails to defend you against
claims made by another person or entity.
When a lawyer reviews a workers» compensation
claim in a free consultation, the injured worker will learn the best way to file the
claim to
avoid missteps that could cost benefits due to errors or
denial of a
claim.
We regularly advise our clients concerning new regulatory initiatives, ways to
avoid and address allegations of billing or insurance fraud, and strategies to minimize and recover wrongful
claim denials and underpayments.
Most disputes regarding
denial of
claim can be
avoided by fully understanding your policy, what it covers, and what it does not cover.
• Working knowledge of ICD - 9 and ICD - 10 and OASIS • Excellent skills in reviewing delinquent accounts and creating avenues for overdue payments • Demonstrated expertise in translating medical procedures into codes that can be easily translated by payers and medical facilities • Proficient in appropriately and confidentially handling patient treatment, diagnosis and procedural information • Well - versed in investigating rejected
claims and ensuring that they are resubmitted and paid • Special talent for investigating insurance fraud and determining ways to counter /
avoid sticky situations • Skilled in verifying and completing charge information in company defined databases • Familiar with documentation needs (and manners of obtaining them) for insurance
claims submission and approval • Qualified to work efficiently with external collection agencies to ensure maximization of reimbursement • Particularly effective in handling appeals for
denials by employing exceptional knowledge of carriers and appeal processes • Special talent for increasing reimbursements by investigating denied
claims and providing alternatives to
denials
Not only does having a house check service alert the homeowner to property damage, it can help them
avoid insurance
claim denials by ensuring homes are checked on a regular basis, says Toronto Home Watch president Deena Friedman.