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hello my name is julie clements i am the chief solutions officer here at managed outsourced solutions today i wanted to go over the 11 common reasons why insurers deny medical claims typically health insurance companies reimburse the medical bills of an insured person who falls ill or requires some medical service however sometimes these medical claims are denied for various reasons to determine the legitimacy of the claim insurers usually rely on a comprehensive medical claims review when a claim is denied the insurance company is required to provide a written explanation of the denial the procedure of appealing to restore the insurance coverage must be included in the explanation the time to appeal against the denial is also limited here are some of the common reasons for insurance claim denials first would be no referral on file some insurers require the insured patient to provide a referral from their family doctor along with the claim if it is not provided the claim may be denied
