Should I Use the Insurer’s Appeal Form?

Posted by: Corinne Chandler At the time of the denial, it is customary for claim representatives to tell insureds that they will have an opportunity to appeal the denial and that the appeal will be a “fresh look” at the evidence in the file.  Recently, we here at Kantor & Kantor have seen a new trend with some insurance carriers when there has been an initial denial of benefits.  Some carriers are now providing insureds with a one or two page “appeal form” to be completed by the insured for the appeal.  This is misleading and may actually prejudice the insured when completing the appeal. As discussed in other posts on this website, the appeal to the insurance company is perhaps the most important part of a claim prior filing a lawsuit.  It is the only opportunity for an insured to ensure that all of the evidence supporting his or her claim is in the insurer’s claim file.  As such, an insured needs to include all medical…

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