What is the process for appealing a denied claim?

Asked a year ago
To appeal a denied claim with WellPoint, you would need to first review the explanation of benefits (EOB) to understand why the claim was denied. Then, you can complete and submit the required appeal form within the specified timeframe. Include any supporting documentation that may help overturn the denial, such as medical records or a letter from your healthcare provider. WellPoint will review the appeal and notify you of their decision. If the denial is upheld, you may have the option to request an external review by an independent third party. Follow the instructions provided by WellPoint to ensure a timely and successful appeal process.
Adam Goldkamp is the editor / author responsible for this content.
Answered May 3, 2024

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