Insurance companies may sometimes deny medical claims submitted by healthcare providers for treatments provided to their patients. Rebuttal affidavits are prepared to contradict a health insurance denial, and need to be carefully drafted. Some of the most common reasons for claim denials are – services that are not medically necessary, availability of less expensive alternatives, mix-ups and errors, non-covered service, insufficient details, out-of-network provider, investigative or experimental treatment, the health plan’s rules were not followed, and in-home medical care.
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Claimants and injury attorneys can utilize medical review solutions that include rebuttal affidavit preparation. Professional reviewers will ensure that the rebuttal is accurate, to-the-point, concise, and without grammatical errors. The explanations will be reasonable, convincing and effective so that the health insurer would understand that the claim is legitimate and the service is medically necessary.
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