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Report: Ohioans save over $900,000 in medical fees in 2009

Posted On Fri, January 7, 2011

When health insurance claims are denied by insurance providers, consumers often go through a long, drawn out appeals process. For most, the appeals don't turn out in the the consumer's favor. But in Ohio, consumers' patience and persistence seems to have paid off.

The Ohio Department of Insurance issued a report recently, showing that Ohioans saved over $900,000 in 2009 due to insurance claim rejections being overturned in the appeals process.

"It's important for people to know that there is a process in place by which they can appeal their health insurance decision to deny them coverage for a medical service," said Mary Jo Hudson, director of the Ohio Department of Insurance.

The appeals process Hudson speaks of was put in place after the Ohio Patient Protection Act in 1999. Basically the Act allows consumers to request a review of a health insurance claim that was denied. The reviewal process must be done by an independent review organization provided by the insurer, or a contractual review by the Ohio Department of Insurance.

The insurance claims reviewed the most in 2009 were surgery, oncology, psychiatry and chiropractic. Approximately 38 percent of claims were reversed into Ohio consumers' favor. 

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