Can HIPAA help me appeal a Dental Claim denial?
May 31, 2006 2:13 PM Subscribe
What is the best approach for appealing a dental insurance claim that was denied for a pre-existing condition when I have had continuous coverage? Does HIPAA apply?
posted by eisbaer to Health & Fitness (6 answers total)
My employer changes Dental Insurance companies almost every year. When I was first hired 4 years ago, I had an extraction under a different insurance company. After 4 years of dental work, I finally got a bridge spanning the extraction.
My current insurance company denied the claim for the bridge because they were not my insurance company when the extraction took place. Can they do this if I have had continuous dental coverage?
I have no control over the "musical dental plans" game that my employer plays. Do I have any recourse? Do the recent HIPAA changes deal with this circumstance?