Insurance Education :: New rules to appeal denials of health insurance claims

Keep the Information Flowing

Small contributions go a long way. Your donation to Consumer Action, a 501 (c)(3) nonprofit, nonpartisan organization, can help us cover the cost of research, writing, and translation of our materials. To keep our services free for those who need them. Select an amount to give.

Released: July 22, 2010

New rules to appeal denials of health insurance claims

Source: Phil Galewitz & Michelle Andrews, Washington Post (Free Registration)

Patients will find it easier to appeal the denials of health insurance claims under rules being issued Thursday by the Obama administration, which is trying to boost political support for the new health-care law by highlighting advantages for consumers.

The regulations guarantee consumers the right to appeal denials—directly to their insurers and then, if necessary, to external review boards.

The external-review requirement will apply, for the first time, to companies that are self-insured—ones that pay their employees’ claims directly rather than buying insurance to cover their workers.

Read Full Article: New rules to appeal denials of health insurance claims