Appeal a denied health insurance claim and get it paid

Log your claim and denial details
45 min
These six identifiers — claim number, policy number, both denial dates, the service, and the amount — are repeated in every document that follows: the claims-file request, the appeal letter, the exhibit index, and any state complaint. Capture them once here from the EOB and the denial notice, which often arrive on different days, so nothing downstream has to re-read the letter.
The next step fixes the exact 180-day deadline from these dates — no need to calculate it here.
To do
Record the claim number
From the EOB or the denial letter header.
Record the policy/member number
From your insurance card or the denial letter.
Record the date printed on the denial letter
Record the date you received the denial letter
Use the portal timestamp or postmark; if undocumented, use the printed date instead — see the warning below.
Record the denied service or provider
Record the billed amount now your responsibility
Read the appeal-window rule in the next stepTo check
To note down
Claim number (Required to finish this step)
Claim number from the EOB or denial letter
Policy/member number (Required to finish this step)
Policy or member number from your insurance card or the denial letter
Date printed on the denial letter (Required to finish this step)
Date you received the denial letter (Required to finish this step)
Date you actually received the denial letter (mailed or portal date)
Denied service or provider (Required to finish this step)
Service, procedure or provider the denial applies to
Billed amount (Required to finish this step)
Total billed amount now your responsibility

0/3 done

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