What Does It Mean When An Insurance Claim Is Denied. Replacement a common issue with the roof claim process is when the insurance company decides whether to give you the cost of repair or replace your roof. If this happens, the claim will remain unpaid and can cause major issues for a provider’s bottom line, especially if it is a recurring issue.
For example, the insurer has made the decision to not pay for the listed procedure, test or prescription. You need to know about the reason for denial of claims so that you can prevent from denying insurance claims. This could be due to how information was entered on the claim, such as an invalid cpt code or a missing modifier.