Definition

A document from your insurer that details how a claim was paid. It explains the amounts applied to your bill.

What to consider

  • Review the reason for denial carefully.
  • Gather necessary documentation to contest the denial.
  • Contact your provider or insurer for clarification.

Real world scenarios

  • After a procedure, Mark’s claim was denied due to missing documentation, which was noted on his bill.
  • Linda received a claim denial notice for a service not covered by her plan.
  • John’s Explanation of Benefits included a claim denial for an unapproved treatment.

Related terms

Healthcare