Episode 51

Is it helpful to seek the assistance of a State Insurance Commissioner in situations where it’s difficult to get denials overturned?

April 30, 2024

Seeking assistance from a State Insurance Commissioner can be beneficial in overturning claim denials, particularly in cases of insurance bullying. These commissioners, both state and federal, advocate for consumers, ensuring insurance companies fulfill their obligations. Dentists can represent patients in appeals, emphasizing the patient’s perspective. Despite challenges, seeking help from experienced sources like insurance experts can navigate the complexities of appealing denials, ultimately benefiting both practitioners and patients. Get expert advice on navigating the appeals process and the importance of persistence in advocating for patients’ rights through this engaging episode.

Time stamps

  • 00:01:47 – What is the role of an insurance commissioner?
  • 00:03:34 – How helpful are insurance commissioners across the country?
  • 00:07:43 – Do you have any recent success stories where insurance commissioners have been helpful in overturning denied claims?
  • 00:12:22 – So if a clean claim is denied, what’s the preferred appeal process?
  • 00:13:14 – Have you seen the insurance commissioner advocate for patients who have a self-funded plan?
  • 00:16:10 – Are you open to listeners contacting you if they have questions about your recommendations?

Resources

Freebie 51

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