Integrated Health Claims/Disability Claim Services

Disability Claims Solutions offers a wide range of services to individual insureds with health claim denials and who wish to file an appeal in order to obtain payment for procedures and services due under the terms of health plan insurance policies.

DCS provides services to health care insureds as follows:

• Review audit of the benefits you are entitled to under the terms of your health insurance plan.
   
• Requests for full disclosure of the reasons for the health claim denial.
   
• Contact with all treating physicians to obtain written verification for medical procedures or treatment needed.
   
• Requests for obtaining supportive medical documentation in support of your medical claim.
   
• Requests to physicians, health plans, or state department of insurance for assistance.
   
• ERISA appeals as described on the EOB document of both health and disability insurance claim denials.
   
• ICD-9 and CPT code identification as part of a health or disability claim for benefits.
   
• Audits of non-payable health, disability and worker’s compensation claims.
   
• Negotiation and mediation with all health care providers to ensure prompt payment of all health and disability benefits due to physicians and insureds.
  

Please contact Disability Claims Solutions for an interview if your health claim has been refused payment. If you believe your claim was unfairly or inappropriately denied, DCS can assist you with the appeals system outlined in your health plan (EOB), and obtain payment for all claims submitted and due under the terms of your health care plan.