Medical Professionals Are Excellent Tools
If you’ve gotten treatment for back pain, like massages, under your doctor’s orders, but the insurance provider refuses to pay for them, seek the medical practitioner’s help. They can threaten a complaint against the insurer to your state’s board directly responsible for regulating health plans with their influence. Health insurance companies might not always fear their clients. However, most, if not all, respect their regulating authorities. There have been situations wherein doctors have effectively intervened on their patient’s behalf by creating pressure on the board, helping them win their coverage. You can also contact the Medicare office or congressman to lodge formal complaints.
If your claim ends up being denied, never contact the board yourself. The reason is that it may end up damaging your case when the state’s agency rules the claim as invalid, leaving them little to no recourse with the insurance companies. Instead, it’s recommended that you take your case directly to the state as you work on the appeals process.
