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Julie Clements, chief solutions officer at Managed Outsourced Solutions, discusses 11 common reasons for medical insurance claim denials. Insurers reimburse medical bills for insured individuals, but claims may be denied for various reasons. Insurers conduct comprehensive reviews to verify claims. When denied, the insurance company must provide a written explanation and appeal process. Common reasons for denials include lack of referral, incorrect patient information, expired insurance coverage, and non-covered services. It is important to review and understand insurance policies to avoid claim denials.
