How the ACA Works for Claim Denials

The Affordable Care Act (ACA) granted people the right to appeal decisions made by their health insurers regardless of their insurance type or state of residence. The law also established rules for how insurance companies should handle initial appeals and allows insurers to request a reconsideration of decisions to deny payment. If an insurer upholds its decision to deny payment, people also have the right to file an external appeal with an independent third party. This process can be time-consuming, but persistent fighting often leads to overturned denials. For example, I was featured on the front page of a newspaper after fighting for four years and finally winning a case where I saved my client $225,000. Please call me. I’m here to help you.

author avatar
Adria Gross
A note to our visitors

This website has updated its privacy policy in compliance with changes to European Union data protection law, for all members globally. We’ve also updated our Privacy Policy to give you more information about your rights and responsibilities with respect to your privacy and personal information. Please read this to review the updates about which cookies we use and what information we collect on our site. By continuing to use this site, you are agreeing to our updated privacy policy.

Scroll to Top