Guest guest Posted July 15, 2003 Report Share Posted July 15, 2003 Also, I believe, (and I could be wrong) that if you've applied for something and it's been denied, if the appeal is overturned even after you're no longer covered, they have to cover the service because you applied before your coverage ran out. Any insurance people out there who can verify this? Unfortunately...No. If the policy is cancelled prior to the date of service, then the service is not eligible for reimbursement. The predetermination responses include disclaimers as well, one of them is that you " must be covered on the date of service to be eligible for benefits " . Now, this could be different if you are referring to appeals through litigious means. If the delay is due to court sessions, then the court (if they overturn the insurance denial) may include in their decision that it has to be covered, but that would be up to the ALJ or whoever is presiding. Chrissy OpenRNY 02/19/03 310/223 Quote Link to comment Share on other sites More sharing options...
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