# Find out why your health insurer denied your claim

**URL:** <https://community.clark.com/t/find-out-why-your-health-insurer-denied-your-claim/3869>\
**Category:** Insurance\
**Created:** [November 18, 2023, 3:37pm UTC](https://community.clark.com/t/find-out-why-your-health-insurer-denied-your-claim/3869 "2023-11-18T15:37:26Z")\
**Posts on this page:** 2\
**Page:** 1

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**Author:** ![OU812](https://sea2.discourse-cdn.com/flex016/user_avatar/community.clark.com/ou812/32/1549_2.png) [@OU812](https://community.clark.com/u/OU812)\
**Post date:** [November 18, 2023, 3:37pm UTC](https://community.clark.com/t/find-out-why-your-health-insurer-denied-your-claim/3869/1 "2023-11-18T15:37:26Z")

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I just heard about this and have not tried it so I am not promoting it. But it seems like it might be helpful if you are trying to dispute a health claim denial.

> **[Find Out Why Health Insurance Denied Your Claim](https://projects.propublica.org/claimfile/)**
>
> You likely have the right to access records that explain why your insurer denied your claim or prior authorization request. Use ProPublica’s free tool to generate a letter requesting your claim file from your health insurance company.

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**Author:** ![Smartpolitics](https://avatars.discourse-cdn.com/v4/letter/s/65b543/32.png) [@Smartpolitics](https://community.clark.com/u/Smartpolitics)\
**Post date:** [November 18, 2023, 7:29pm UTC](https://community.clark.com/t/find-out-why-your-health-insurer-denied-your-claim/3869/2 "2023-11-18T19:29:28Z")

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Sometimes it’s Artificial intelligence

This way, the customer has to request a human to review a claim. I had about $5,000 in expenses - about 30 doctor visits for a dependent and some hearing aids that got denied because the robot didn’t read the attachments that accompanied the claim

I ended out paying around $1,100 for everything which was the agreed amount per the contract but it took 150 days to resolve. It was worth the hassle as my wife’s employer pays 87% of the cost
