Many people feel that battling insurance companies over insurance claim denials is somewhat futile, or a hassle at best. However, it turns out that this attitude is based on false assumptions. According to the Government Accountability Office, people who appeal denials on their health insurance claims directly to their insurer win 39% - 59% of the time. These percentages make it clear that appealing a denial is definitely worth your time.
The responsibility for whether or not you are successful in your appeal will fall largely on your shoulders. In order to appeal a claim denial successfully, consumers must know the fundamental features of their insurance policy. Your dentist or cosmetic dentist will most likely not be familiar with all the details of your policy, so don’t rely on them to know the specifics. This is especially true for dentists in Manhattan that have many clients and a lot going on. So if, for example, you go to a dentist in Midtown Manhattan to get dental implants and your claim is denied, don’t blame them just because you don’t know the basics.