If an insurance claim is denied, parents can take the following steps:
1. Review the Denial: Understand the reason for the denial by carefully reading the explanation of benefits (EOB). 2. Contact the Insurer: Reach out to the insurance company for clarification and potential resolution. 3. Consult the Pediatrician: Pediatricians can provide additional medical documentation or justification to support the appeal. 4. File an Appeal: Submit a formal appeal with all necessary documents and follow up regularly. 5. Seek External Review: If the appeal is denied, request an external review by an independent third party.
