What to Do When a Claim Is Denied

A claim may be denied because the service was not covered, prior authorization was missing, information was incorrect or the provider was out of network.

Review the denial reason on your EOB or claim notice.

When information was submitted incorrectly, your healthcare provider may need to send a corrected claim. When you disagree with the decision, you may be able to submit an appeal.

Check your denial notice for appeal instructions and deadlines. Contact Member Services for help reviewing the denial.