The sad fact is that there are many valid reasons why insurance claims are denied. Some of the most common factors behind denied insurance claims include:
- Incomplete information
- Insufficient evidence
- Policy exclusions
- Missed deadlines
- Procedures deemed not medically necessary
- Duplicate claims filed
- Cases of pre-existing conditions for health claims
- Coding or billing errors for health claims
- Out-of-network care for health claims
- Lack of pre-authorization for certain health claims