Insurance claims consulting

The claim process is usually not smooth.  There are flaws and refusal of claims without appropriate justification, which wear claimants.  Agents frequently mislead consumers while taking insurance, Leading to a denial of claims

While claiming a health plan insurance the policyholder, typically, needs to deal with numerous entities–physicians, the hospital, and the third-party administrator (TPA) and the insurance company.  There may be an issue vis-a-vis some of those things  Delay in claim compensation because of reasons such as incomplete paperwork, excess claim number and non-disclosure could cause delays and other problems.  Sometimes, TPAs even claim that the insurance company hasn’t released the money.

The payoff has been a struggle with disputed rejections and grey-area claims.  Sometimes, one gets a feeling that the procedures are made to pay the minimum claim, if at all.  


What’s a Health Insurance Claims Rejection?

 A claim has rejected once an Insurance Provider refuses an individual’s request to cover the health care services or hospitalisation in a healthcare facility. 


Buying a medical insurance plan is the perfect way to protect your savings in case of a health emergency or as soon as an unforeseen illness strikes.  But while buying a policy is now simple, not all of the claims which are raised, have settled.  This guide will talk about all the possible causes of claim rejection so that you are mindful of them, and you’ll be able to prevent a claim rejection. When your claim has been rejected, you must know why your health insurance policy claim has been reversed.  Understanding the reason will set you in a much better place to fight your claim rejection and get it covered even though it had been denied initially. 

Circumstances where Claims Rejection can be reversed.

If there are delays in submitting the claim and there is a genuine reason behind the delay.

Where delay arises in procuring and furnishing documents related to any clarifications asked.

In case, you do not submit the history from the first consultation leading to the treatment.

 In cases where the physician has not clarified on some queries raised.

If claims get rejected for silly reasons or saying, the medical approach was false.

If the hospital makes mistakes in the documents.


How does Mayden Help?

At Mayden, we support people and their families, on medical claim matters by examining, inspecting, evaluating, auditing, analysing and resolving refused medical bills, insurance pre-authorisations, denied medical insurance claims, refused health claims and more. 


What exactly do we do?

Follow through on every situation on your behalf, saving you time and money acquiring reimbursement for medical treatment where claims are denied.

Mayden is a health insurance consumer advocate and consultant for insured people, helping them get the money they deserve. 

“We care about your claims.”

Frequently Asked Questions

Here are some answers to the questions we receive the most about our services.
If we missed anything, please do not hesitate to contact us. We’ll be happy to help

A valid cause of claim rejection is the non-disclosure of a pre-existing medical condition at the time of buying the medical insurance plan. 

The claim also can be rejected when medical treatment is taken through the waiting period.  Policyholders have to be aware that their policy covers certain diseases and ailments just after the conclusion of waiting period claim-free years, based on the policy. 

  • Suppose the Individual is hospitalised due to an illness that falls under the class of congenital diseases like congenital anaemia, thalassemia, cystic fibrosis or Down’s syndrome. In that case, they might not be addressed under the policy, which can make your claim. 

After the Demand for hospitalisation is not justified, just like in the case of headache or fever or whenever the evaluations are conducted for evaluation function only.

Filed for an inpatient service in which the hospitalisation was for over 24 hours and if it doesn’t fall below an approved day-care process in the coverage, then the claim can get denied. 

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Today’s patients and health care professionals are different from the healthcare consumer in the past.

“Consumer behavior has changed radically over the years you can not just imagine.”

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The beginning of modern technology, combined with the advantages of digital advertising, has helped the healthcare industry to flourish. Healthcare promotion is a promotion process that produces excellent online experiences that places your healthcare company at the forefront of an extremely competitive health market.

Healthcare digital advertising would broadly encompass, but not limited to responsive sites, Google Adwords campaigns, SEO tactics, unique landing pages, cell apps, email advertising applications, social websites articles and more. You may have concrete strategies in place, but you will need something more substantial, which will be a strategy.

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Digital marketing in the healthcare business helps attain the right patient at the perfect time with the ideal therapy advertising. Remember, you searching for best doctors close to me, or the best way to deal with cold symptoms at home queries?

That’s why it’s essential to stay on top of digital advertising and marketing methods and maintain your health business at the forefront of the online revolution.

“A brand for a company is like a reputation for a person. You earn reputation by trying to do hard things well.”

Frequently Asked Questions

Here are some answers to the questions we receive the most about our services.
If we missed anything, please do not hesitate to contact us. We’ll be happy to help

Digital marketing solves a lot of problems for the corporate.To list a few

  • Helps achieve profitable growth
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Prospective patients live in a digital world.

Better than half of Internet users connect by way of a mobile device. 

Digital metrics are powerful and accurate

Digital marketing and Digital advertising tools can be highly localized.  

More than 90 percent of prospective patients look at hospital reviews online.

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