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Is it a Denial??

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Is it a Denial??
 

Is it a Denial??Online version

Claim denial basics

by Bree
1

Customer no longer meets definition of Disability per recent follow up.

2

Customer has completed PT requirements and is ready to return to work with accommodations of reduced hours.

3

Customer no longer cooperating with Insurance company

4

Customer has failed to apply for SSDI benefits, which was required per the policy.

5

Customer dies in car accident while out on disability.

6

The customer is not expected to remain disabled past the max duration date per the policy.

7

Customer recently had knee surgery but is now refusing PT as directed by his surgeon.

8

Customer advises you they have been working a part time job to supplement income. Per review of the customer's pay stubs he earns less than the percentage defined in the policy.

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