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In Virginia (and in most, if not all, states) there is an insurance bureau (http://www.scc.virginia.gov/division/boi/) to which you can file a complaint if you feel your claim was wrongly denied. Theoretically, they provide some regulation of the insurance industry and protect consumers to some extent.
What else can I help you with?
What is the difference between a rejected claim and a denied claim in the context of insurance coverage?
A rejected claim is when the insurance company determines that the claim does not meet the policy requirements from the start, so it is not processed at all. A denied claim is when the insurance company processes the claim but decides not to pay for it, usually due to not meeting specific coverage criteria.
Filing claim pre existing conditions for appeal?
Many insurance companies will denial claims for pre-existing conditions. You have a right to appeal all claims. You should call your company first to see why the clam was denied.
What happens if a claim is submitted after the filing limit and the member is not liable?
If a claim is submitted after the filing limit and the member is not liable, the claim may be denied by the insurance company due to the late submission. This means that the insurance company may not cover the expenses or damages associated with the claim.
What if your workmen's comp claim is denied?
If you claim is denied, you can try and appeal it. You will only be given workmen's comp is the injury happened on the job.
Can you get your insurance company to look back and reevaluate a claim they denied years ago?
You may be able to but it isn't very likely.
How do you appeal when the car insurance company finds you at fault and you are not?
Please give me more information, and I'm sure I can help. Facts of loss? Exact reason they denied your claim? They must give you the reason that your claim was denied, or that you were found neglient. You can file with your company then they can arbitrate the claim for a decision, you can contact the dept of insurance for your state. You can file suit (small claims if under the limit), if you secure a judgment against their insured they will have to pay, (barring any appeals of course), but need to know the reason for denial, to be of real help to you.
IF Patient primary insurance denied claim because provider is not contracted with them will secondary insurance pay on the claim?
yes
What can you do when your homeowners insurance company does not pay on a burglary claim?
It depends on why they didn't pay the claim. If you have the coverage and followed the requirements, like making a police report, cooperating with the insurance company as well as the police then you should have no problem with a claim, if it was in fact a theft. Otherwise you can always sue the company or file a complaint with your state department of insurance if you feel you were denied coverage you paid for.
Do i have to tell my insurance company about Second Life?
When applying for life insurance you need to always answer the applications correctly and honestly or a claim may be denied. If you purchase new life insurance you do not need to go back to your already in force insurance company and advise them.
What effect does a claim has on insurance company?
A claim is a liability on part of the insurance company. If a customer makes a claim it means that the insurance company has to pay the customer for the amount is eligible to claim and hence it is a expenditure on the balance sheets of the insurance company.
What do you do when your insurance company denies your stolen car claim and drops you?
If they denied that claim for cause, such as fraud, then there is nothing you can do. If they did not have cause, you can try contacting the department of insurance in your state. That is of course, as long as you had comphrensive coverage on the policy. If you did not have coverage, they do not have to pay for anything.
What if the delay in filing an insurance claim is the fault of the insurance company?
That's not very likely. The insurance company does not file your claim, they accept your claim notice from you. You have to file your claim with the company, not the other way around.
