denied claim

Turned down petition

A denied claim is a request for payment or benefit that has been rejected by the deciding authority—typically an insurance company, government agency, or employer.

The term appears most often in healthcare and insurance contexts, where a denied claim means the insurer has refused to cover a service or reimburse a cost: She spent hours on the phone appealing the denied claim for her surgery.

Claims may be denied for procedural reasons like missing paperwork, or substantive ones like the service being deemed unnecessary or outside coverage.

Related

refusal · bad faith · paperwork · fine print · resubmit · coverage · prior authorization · deductible · out of pocket · hospital · billing · medical · preauthorization · medical necessity · bureaucracy · frustration · phone · on the phone

Categories
Opposites
claim adjudication outcome

denied claimapproval

Favorable opinion given

acceptance

Family

denied, claim, deny, denies, denying, deniable, undeniable, undeniably, denial

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