There are several common reasons for claim denials in the context of cancer treatment:
Incomplete Documentation: Missing or inaccurate patient information can lead to denials. Lack of Medical Necessity: Insurance companies may deem certain treatments unnecessary or experimental. Out-of-Network Providers: Receiving care from providers not covered by the insurance plan can result in denials. Pre-authorization Issues: Some treatments require pre-approval from the insurer, and failure to obtain this can lead to denial. Policy Exclusions: Specific treatments or medications may be excluded from the insurance policy.
