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Typically, a health insurance company will make a decision regarding whether a claim should be paid. An underwriter, a claims approver and perhaps another resource may be used during this process.
If your claim is denied, you can appeal.
Regarding a "second opinion" concerning a possible procedure or surgery, your private or group policy will clearly indicate the level of benefit you have. And of course, an experienced broker can also help.
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If your claim is denied, you can appeal.
Regarding a "second opinion" concerning a possible procedure or surgery, your private or group policy will clearly indicate the level of benefit you have. And of course, an experienced broker can also help.