ST Alpha - "What is the point of filing an appeal with an insurance company? Are they *ever* going to accept the appeal/eat the cost due to their own mistake?" (Reading a Post)

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What is the point of filing an appeal with an insurance company? Are they ever going to accept the appeal/eat the cost due to their own mistake?

Posted by kelly (aka kelly) Jul 17 '09, 10:08

I am so pissed off right now.

Responses:

Very often, with more information provided, an insurance company will pay a previously denied claim. - Jim Jul 17, 10:21 1
- What kind of information is needed? - kelly Jul 17, 10:23
it works often here, although I don't know the success rate. -- nm - TFox Jul 17, 10:15
I'm taking a guess that the first level people have strict guidelines to follow, while the appeals level has some leeway to judge a situation and work - ty97 Jul 17, 10:10 5
- Well, here's the thing: - kelly Jul 17, 10:17 3
  - there is a re-appeal process? do that. -- nm - TFox Jul 17, 10:19 2
    - (and just regurgitate what I said in the first appeal letter?) -- nm - kelly Jul 17, 10:24 1
      - potentially? do you want another set of eyes on the letter? -- nm - TFox Jul 17, 10:26
- I wonder how many people file an appeal. I would get it depends on the amount of extra paperwork needed. -- nm - James Bond (aka Igor) Jul 17, 10:13
yeah, I don't get the logic of this, "Let's go back and ask the company who denied us coverage if they really meant it, or if they were just joshing." -- nm - znufrii Jul 17, 10:09 2
- It's PR and economics. You, as a customer, need to make enough noise for it to be worthwhile for them to pay out. - Mop (still 235lbs... on a good day) Jul 17, 10:13 1
  - Also, check your state's web site. There's probably a regulatory body for insurance companies and they'll have an appeals process. -- nm - Mop (still 235lbs... on a good day) Jul 17, 10:14

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What is the point of filing an appeal with an insurance company? Are they *ever* going to accept the appeal/eat the cost due to their own mistake?

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What is the point of filing an appeal with an insurance company? Are they ever going to accept the appeal/eat the cost due to their own mistake?