ClaimBack Blog

Expert advice on appealing denied insurance claims. Learn the strategies that work across Singapore, UK, UAE, Australia, and beyond.

September 20, 2024

How to Appeal a Step Therapy Requirement (Fail-First Override)

Complete guide to getting a step therapy override when your insurer requires you to try cheaper medications before appro

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September 12, 2024

Insurance Denial Rates in 2025: What the Data Shows

A data-driven analysis of health insurance claim denial rates in 2025, including trends by insurer, denial type, and wha

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September 12, 2024

What Is ERISA? Your Rights Under the Federal Insurance Appeal Law

Learn what ERISA is, how it governs employer-sponsored health insurance, and how to use ERISA appeal rights when your cl

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September 5, 2024

How to Appeal an Out-of-Network Denial: Step-by-Step Guide

Complete guide to appealing an out-of-network insurance denial. Covers the No Surprises Act, network adequacy arguments,

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September 5, 2024

Kaiser Permanente Denied Your Bariatric Surgery? How to Appeal

Kaiser Permanente denied coverage for bariatric surgery including gastric bypass, sleeve gastrectomy, or lap-band? Learn

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September 5, 2024

What Is Copay (Copayment)? Insurance Term Explained

Learn what copay (copayment) means in health insurance, how it affects your coverage, and what to do if it leads to a cl

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August 28, 2024

What Is Coinsurance? Insurance Term Explained

Learn what coinsurance means in health insurance, how it affects your coverage, and what to do if it leads to a claim de

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August 22, 2024

What Is an Adverse Benefit Determination? Your Denial Notice Explained

Learn what an adverse benefit determination is, what your insurer must include in the notice, and how to use it as the s

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August 19, 2024

Oscar Health Denied Your Mental Health Treatment? How to Appeal

Oscar Health denied coverage for mental health or substance abuse treatment? Learn why Oscar Health denies these claims,

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August 15, 2024

What Is an Out-of-Pocket Maximum? Your Annual Cost Ceiling Explained

Learn what the out-of-pocket maximum is, how it caps your annual healthcare costs, and what to do if your insurer fails

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August 12, 2024

How to Appeal When Your Insurer Calls Treatment "Experimental"

Step-by-step guide to overturning insurance denials that label FDA-approved or guideline-recommended treatments as exper

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August 8, 2024

What Is a Deductible? Insurance Term Explained

Learn what deductible means in health insurance, how it affects your coverage, and what to do if it leads to a claim den

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July 22, 2024

Devoted Health Claim Denied: How to Appeal Your Medicare Advantage Decision

Devoted Health denied your Medicare Advantage claim? Learn the Medicare appeal process, top denial reasons, how to escal

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July 15, 2024

Anthem Denied Your Eating Disorder Treatment? How to Appeal

Anthem denied coverage for eating disorder treatment including anorexia, bulimia, or binge eating disorder? Learn why An

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June 28, 2024

Aetna Denied Your Fibromyalgia Treatment? How to Appeal

Aetna denied coverage for fibromyalgia treatment? Learn why Aetna denies fibromyalgia claims, common denial codes, your

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June 10, 2024

Friday Health Plans Claim Denied: How to Appeal Your Insurance Decision

Friday Health Plans denied your health insurance claim? Learn the top denial reasons, your ACA appeal rights, step-by-st

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May 15, 2024

Bright Health Claim Denied: How to Appeal Your Insurance Decision

Bright Health denied your health insurance claim? Learn the top denial reasons, step-by-step appeal process, your ACA ri

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