Question

Why do you think the insurance company is denying your friends claim ​

Answer 1

Step-by-step explanation:

If you think the right was improperly denied and the insurer doesn’t appear to be budging, you will see into suing the insurance company. However, you should also consider contacting the insurance lawyer before the right is denied if you believe the insurance company is being biased. Sometimes the presence of an experienced insurance professional will help make the organization to recognize its responsibilities better and be to the reasonable agreement. Again, each government has its statutes and case law governing the policy business, and these include the types of cases you may take against the insurer. Every government provides for the failure of the contract act since the insurance policy is a kind of contract. Some states also permit you to oppose a bad faith tort case. Additionally, you may be able to sue under the government’s unfair business practices forces. Some states have codes or statutes which relate immediately to business practices within the policy industry.

Answer 2

Any insurance company is registered with the government and system, and they have a set of rules or standards which the follow when any of there client faces some emergency or medical situations. But, an insurance company can say, "No" to providing services to any of its client based on the situations provided. It can be due to many reasons but the most logical reason are given below;

Step-by-step explanation:

1. The person may have non-covered charges: There is a certain amount of bills or payments which are required to be paid to the insurance company, and for sure an insurance is not so charitable to provide services for free.
2. The bill went to the wrong insurance company:As any of the concern authorities or the person may have sent the bills required to be paid to some other institution or address, leading the whole confusion into a huge blunder.
3. You used an out-of-network provider: The insurance company may deny to provide any services to the client in case if he has approached an out of plan or out-of-network provider. As it will cause the conflict of interest resulting in not having any services been provided by the insurance company.
4. There are minor transcription errors:Even, minor errors or having some issues in the data entered or the record saved with the insurance company can lead to more confusion and denial of the insurance to provide any services to its clients.But, it can be corrected well by the customer representatives when approached on time.