50% of Insurance Denials Get Overturned on Appeal

Added: 2026-05-23

[00:00:00]So, your insurance denied your claim.

[00:00:02]External review overturns approximately 50% of denials based on available state-level data. That process is available to you by law.

[00:00:12]There are two levels of appeal that exist, internal and external. Internal goes back to your insurer.

[00:00:19]External goes to an independent review organization or IRO, which is a separate company that is not employed by and does not work for your insurer.

[00:00:30]Their job is to look at your case with fresh eyes.

[00:00:33]I cover insurance rights, medical bills, and health law. Sourced and cited.

[00:00:39]Subscribe so you know what to do next time they say no.