Claims and Denials
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Paying for treatment
Learn why you may help pay for a treatment you think the health plan covers.
Claims and Denials -
Preventive services
See what to do if your carrier codes a colonoscopy as diagnostic instead of preventive.
Claims and Denials -
Allowed amounts
Learn about “allowed amounts” and who sets the prices you pay when a claim is applied to your deductible.
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New drugs and treatments
See how OHA can help you if your health plan says a drug or service isn’t medically necessary.
Claims and Denials -
Extended care
Learn what to do if you reach your plan’s limits for a treatment you still need.
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Coverage denials
Learn the three types of coverage denials and how the Office of the Healthcare Advocate can help you.
Claims and Denials