Step-by-Step Guide to Appealing an ERISA Plan Denial Deadlines, Legal Rights, and Strategic Tips for a Successful Appeal
Step-by-Step Guide to Appealing an ERISA Plan Denial Deadlines, Legal Rights, and Strategic Tips for a Successful Appeal Updated for August 2025 | Applies to Kentucky, Ohio, and Sixth Circuit Jurisdictions If your health insurance claim gets denied under an employer-sponsored plan governed by ERISA (Employee Retirement Income Security Act), you have specific legal rights, […]
A Louisville Man’s Fight for Cancer Care, and What We Can All Learn
A Louisville Man’s Fight for Cancer Care, and What We Can All Learn By Frank M. Mungo, Attorney at Law AppealHealthcare.com Tracy Pike was a hardworking maintenance man from Louisville, Kentucky. He was also a husband, a father, and a man who had already once beaten stage IV stomach cancer. But when his cancer returned […]
Health Insurance Prior Authorization Denials: Your Guide to Fighting Back
Health Insurance Prior Authorization Denials: Your Guide to Fighting Back Imagine walking into your pharmacy to pick up a life-saving medication, only to be told your insurance company needs “approval” first. Or picture waiting weeks for a critical medical procedure while bureaucrats, not your doctor, decide whether you “really need” the treatment. Welcome to the […]
7 Common Reasons Health Insurance Claims Are Denied, and How to Reverse Them
When you receive a denial letter, it can be overwhelming, and it’s essential to act promptly. Understanding the common reasons for claim denials empowers you to act before an appeal is necessary. Here are the top seven reasons claims are denied, what each means, and how you can effectively respond. Administrative Errors What it is: […]
Why You Need a Lawyer, Not Just an Algorithm, to Fight Your Health Insurance Denial
When the insurer says “no,” your appeal needs more than a form letter. When your health insurance denies care that your doctor says you need, it feels personal, because it is. You have been diagnosed with a medical condition, and your insurance does not cover your treatment. This denial is a serious situation, and now […]
Why Most People Never Appeal ERISA Healthcare Denials, And Why That Needs to Change (2025 Update)
Why Most People Never Appeal ERISA Healthcare Denials, And Why That Needs to Change (2025 Update) Each year, millions of Americans are denied healthcare benefits by employer-sponsored health plans. Many of these plans are regulated by the Employee Retirement Income Security Act (ERISA). Despite rising denial rates, very few people appeal. Recent data and federal […]
Five Counterintuitive ERISA Appeal Strategies to Help You Win
Five Counterintuitive ERISA Appeal Strategies to Help You Win Why These ERISA Appeal Strategies Matter You trusted your ERISA plan to safeguard your health and financial security. When a valid claim is denied, that trust is violated. You have the right to fight back. These five surprising yet effective strategies go beyond simple paperwork. They […]
Why Most Medicare Advantage Denials Are Overturned on Appeal: And How to Maximize Your Chances of Success
Why Most Medicare Advantage Denials Are Overturned on Appeal: And How to Maximize Your Chances of Success If you have received a denial from your Medicare Advantage plan, you’re not alone. Every year, millions of Americans encounter denied claims and prior authorizations. The good news is that most denials that are appealed are overturned. However, […]
What to Expect: Timeline of an ERISA Healthcare Appeal
Why We Fight. When your health is on the line and your insurance company says “no,” you deserve a process that values your life as much as your plan values its bottom line. That’s why we focus exclusively on appealing denied healthcare claims under ERISA—the federal law that governs most employer-sponsored health insurance plans. Our goal […]
How Long Does a Health Insurance Appeal Take?
How Long Does a Health Insurance Appeal Take? Understanding the Timeline, What to Expect, and How to Take Control When your health is on the line, every day matters. A denied healthcare claim can delay treatment, create stress, and leave you wondering—how long will this appeal take, and what can I do to speed it […]
