Q: My question is regarding an insurance policy in which my company denied a payable claim due to policy wording issue.
I have provided all info needed, surgical notes, etc. and they still refuse to pay. I have filed my appeal and am close to going public with this ordeal. This is for a cancer policy. In addition, I have recorded conversations with this company where false information and excuses have been given constantly.
A:
A North Carolina attorney could advise best on this, but your question remains open for two weeks. Dealing with the matter privately or publicly is up to you. Check the wording in the application for the appeal, particularly in terms of whether the determination of the appeal panel is binding. Depending on the amount of the claim, you could consider meeting with an attorney and reviewing the policy provisions, bills submitted, supporting documentation for bills submitted, and the carrier's decision. Good luck
Tim Akpinar
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