Denial Fighter

Understand denials and generate powerful appeals

You have 2 claim(s) that need attention

Hail Damage - Roof Replacement, MRI Pre-Authorization Denial

Common Denial Reasons
Select a denial reason to learn more
PRE-EXISTING

Pre-existing Condition/Damage

NOT-COVERED

Not Covered Under Policy

MED-NECESSITY

Not Medically Necessary

MISSED-DEADLINE

Late Filing/Missed Deadline

WEAR-TEAR

Normal Wear and Tear

UNDERINSURED

Claim Exceeds Coverage Limits

PRE-EXISTING72% Appeal Success
Pre-existing Condition/Damage

What This Really Means

The insurance company claims the damage existed before your policy started or before the event you reported.

How to Fight Back

Provide dated photos, inspection reports, or medical records showing the condition did not exist prior to the covered event.

Commonly Seen In

Property ClaimsHealth ClaimsAuto Claims

Relevant Regulations

TX Ins. Code 541.060ERISA Section 502