When you are hurt in an accident, you just want to get better and put your life back together. Getting your claims approved by the insurance company is the last thing you want to worry about. Sadly, the insurance companies have only one concern and that is making money. If there is one little mistake, they may not pay your insurance claim, or it could be seriously delayed when you need it most. It is important to know what may cause a denial or delay of a medical insurance claim before you submit it. Doing so gives you the chance to submit the most complete claim possible and lessens your chance of issues.
There are a few different reasons a claim will register as a duplicate. The biggest reason is when a doctor’s office does not get a timely reply for their services rendered and will resubmit the claim. The insurance company will automatically deny the claim at this point. These duplicate claim situations essentially reset the clock on the time it will take to get an approval. It also happened when two different doctors or health care providers make a claim for the same or similar services. Further information may be required before an approval will be issued.