Raleigh Personal Injury Lawyer | Cary NC Workers Compensation | Nichols Law Firm
Description: North Carolina Trial Lawyer Chris Nichols discusses trials, liens, technology and changes to the law. With a practice concentrated in personal injury law in Raleigh, North Carolina, discussions involved personal injury issues and changes to the law that effect the rights of NC citizens who have been injured by the negligence of others.
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It's not unusual for health insurers to deny coverage for procedures and medications which they deem "not medically necessary." Typically, this might start with a procedure which requires you to get advanced approval from the health insurance company. Your doctor has probably submitted a request that the procedure be approved and your insurer has said that they do not believe the procedure or course of treatment is medically necessary. At that point, you have to work through your own health insurer's int
The internal appeals may be a single step or may be multiple steps. Make sure you go through all levels of internal review, also known as "exhausting remedies." The appeal levels should be listed in your insurance contract or summary plan description. If you don't have a copy, make sure you request one from the insurer.
If you exhaust the appeals within your health insurance company, and you have a certain type of health plan coverage, you can request an "External review" through the NC Department of Insurance. External review is available for most health insurers that make coverage decisions based on medical necessity. Other types of denial decisions are not eligible for external review.
Raleigh Personal Injury Lawyer | Cary NC Workers Compensation | Nichols Law Firm