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The Water Cooler
General Discussion
Health Insurance Company Denied Your Claim??
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<blockquote data-quote="Lightsluvr" data-source="post: 4356989" data-attributes="member: 25808"><p>It is my professional experience (50 years in insurance claims) that the insurance commissioner's customer complaint and fraud units are very pro-active. There are specific timelines in Oklahoma Statute 36 that govern good faith claim handling in Oklahoma. One prohibited act under the statute is a failure to investigate a claim before denying or taking other adverse action. I would comment that some of the largest punitive damage awards in Oklahoma were against health insurance carriers. Just sayin'.</p></blockquote><p></p>
[QUOTE="Lightsluvr, post: 4356989, member: 25808"] It is my professional experience (50 years in insurance claims) that the insurance commissioner's customer complaint and fraud units are very pro-active. There are specific timelines in Oklahoma Statute 36 that govern good faith claim handling in Oklahoma. One prohibited act under the statute is a failure to investigate a claim before denying or taking other adverse action. I would comment that some of the largest punitive damage awards in Oklahoma were against health insurance carriers. Just sayin'. [/QUOTE]
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Health Insurance Company Denied Your Claim??
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