No. Insurers are required to investigate claims, but the fact that they start an investigation doesn't obligate them to pay a claim that they wouldn't otherwise pay. Once the facts are gathered and reviewed, the insurer can then make a coverage decision.
That said, if you feel your claim has been wrongly denied, is delayed, isn't fair, etc., our consumer advocacy staff may be able to help you. (We're the state agency that regulates insurance in Washington state.) Email us at AskMike@oic.wa.gov or call us at 1-800-562-6900.
Not in Washington state? Here's a handy map to help you contact your own state's insurance regulator.
Blog Archive
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2013
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October
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- High resolution graphics with R
- "The insurance company came out and looked at my c...
- Why does my insurer ask such tough questions about...
- Review: Kölner R Meeting 18 October 2013
- Having trouble reaching the Exchange's call center?
- "I've invented a new medical treatment. How can I ...
- The New Normal
- Medicare open enrollment started this week and end...
- Job seekers - We're looking for a legislative liai...
- See most recent earthquakes in our area - are you ...
- Next Kölner R User Meeting: 18 Oktober 2013
- How to report insurance fraud in Washington state
- I know the new health subsidies are based on your ...
- When your insurance renews, remember to look at th...
- Why models need a certain culture to flourish
- Plotting Your Escape From The PPACA
- Hole-in-one insurer pleads guilty to three felonies
- What to do if your Medicare Advantage plan is goin...
- WAhealthplanfinder will be down tonight for system...
- I hear new health plans must meet 'actuarial value...
- Washington's Healthplanfinder now up and running
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October
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