AUGUST 11, 2000 
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Claim Denied?  Here Are Some Tips
to Get Your Insurer to Pay

What should you do if an HMO or health insurance company denies your claim? These are possible approaches:

  1. Find out if your hospital has an ombudsman or social worker who will contact the insurer on your behalf.
  2. Review your HMO or insurance contract to determine what right of appeal you have and to whom you should appeal.
  3. Learn what state laws exist to protect patients’ rights.

  4. Contact an elder law attorney who has experience in getting insurers to pay your claims.