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testudovictoria | 3 years ago

Part of the problem with this is the horrible business practices and policies in place. In a way, it is urgent that you get back to your health insurance rep or your car insurance rep or whatever private business that's selling you a government mandated service. That phone rep knows that you only have 15 more days to finish your insurance claim, or you've gone past the deadline. Then when you call back, the rep can't do anything. Terrible business policy doesn't allow them to. Something like this happened to me.

I had an issue once with a claim. It was an ongoing ordeal with lots of small meetings and documentation. It was eventually denied. However, I had a rebuttal window. Unfortunately for me, it came during a stressful period of work. I made the initial call to my rep. No call back. I was buried under work, and the 5 day rebuttal window (how absurdly short) blew by without me realizing it. Turns out the rep was on vacation, and after my case was closed, there was no reason for them to return my call.

These issues are never a matter of urgency that should be dealt with in that instance. However, don't let your window of opportunity close due to an adversarial business policy.

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awinter-py|3 years ago

I'm not a lawyer, but: if you missed the dispute window because they didn't call you back, I'm not sure you missed the dispute window? In matters of law the statute of limitations often 'tolls', or pauses, once a dispute begins.

out of curiosity which insurer did this + in which state?