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Making a claim for benefits is something that millions of people take for granted. They automatically believe that their insurance company is going to pick up the tab for many medical services they are in need of. While this can be the case with some policies, it is important to note that it is not true across the board. Even more so, there are situations in which insurance claims are denied when they should have been paid.

It doesn’t matter if you are one of our California readers or reside in another part of the country, if you have medical insurance, you need to realize the importance of having your claims covered as directed by your policy.

In the state of Minnesota, some patients have run into major issues as far as this is concerned. In fact, things have gotten so bad that the Minnesota Attorney General has stepped in and asked the federal government to investigate Humana, which is one of the largest health insurance providers in the state. Humana is being accused of denying claims that should have been covered, while also overcharging patients with Medicare.

Late last month, the Attorney General’s office presented hundreds of pages of affidavits to the federal government. Furthermore, they believe they have enough proof to show that Humana has been irresponsible in the way the company is handling insurance claims. It appears that most of the complaints involve state residents who are currently enrolled in a Medicare Advantage plan.

Regardless of where you live, a wrongfully denied insurance claim is a big deal. Not only does this mean the patient is stuck with a medical bill, but it may push them away from receiving treatment in the future when they need it the most. An attorney can provide advice and options about pursuing claim appeals.

Source:  KSTP.com, “Minnesota Attorney General: ‘Humana Denied Legitimate Claims'” Stephen Tellier, Oct. 19, 2013

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