1. 15645 POINTS
    Edward HarrisPRO
    Owner, Best Health And Car Insurance Rates - Instant Online Quotes, US
    Typically, a health insurance company will make a decision regarding whether a claim should be paid. An underwriter, a claims approver and perhaps another resource may be used during this process.

    If your claim is denied, you can appeal.

    Regarding a "second opinion" concerning a possible procedure or surgery, your private or group policy will clearly indicate the level of benefit you have. And of course, an experienced broker can also help.
    Answered on May 2, 2013
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