Q: I need to have an MRI and my insurance company requires a pre-certification for this procedure. They will not pre-certify the MRI until I pay the premium. I plan to pay it the end of this week, but I need the MRI prior to that.. Will they have to pay the claim?
A: If your insurance plan requires pre-certifications for specific procedures then they have the right to deny the claim if you or your provider did not get the proper authorization. Some insurance plans have a pre-cert penalty and will pay the claim at a reduced benefit.
Related Questions
No related questions were found.
Attachments
No attachments were found.
Copyright 2007 COBRA Insurance
.com - COBRA Insurance Information Source. All rights
reserved.
Important
Disclaimer: COBRA is a law (It is not an endorsed
insurance plan or company). Answers and comments provided
on
Cobra insurance .com website are general information,
and are not intended to substitute for informed professional
medical, psychiatric, psychological, tax, legal, investment,
accounting, governmental, or other professional advice.
Cobra
insurance .com does not endorse, and expressly disclaims
liability for any product, manufacturer, distributor,
service, health plan, or service provider mentioned or any
opinion expressed in the website. Replies, comments, or
information gathered on
Cobra
insurance .com website may not be accurate but are
intended to be helpful.
Search COBRA Insurance Questions
Browse by Category
Print this page
Email this page
Post a comment
Subscribe me
Add to favorites
