Claim Help Library

Provider Billed More Than the EOB Says I Owe

Strong for bill-vs-EOB confusion where the next move is still recoverable.

Insurance Denied Out-of-Network Imaging

Pairs a high-friction denial story with a concrete next-step path.

Insurance Denied CT Scan

High-intent procedure appeal support for imaging denials.

What to Include in an Insurance Appeal Letter

A conversion-adjacent page that helps users move from problem diagnosis into action.

Prior Authorization Denial

A canonical denial explainer for one of the strongest denial families.

Aetna Referral-Required Specialty Imaging Denial

A high-intent payer-specific denial page with strong uniqueness.

Appeal Guides

Insurance Denied MRI: What to Do First

When insurance denies an MRI, the first move is usually to confirm whether the issue is medical necessity, prior authorization, missing records, or a billing mismatch before drafting a full appeal. Review the first steps, what to gather, what to ask. When a formal appeal usually

Appeal Guides

Claim Denied After Prior Authorization: What to Check Next

If a claim was denied after prior authorization, the first question is whether the approval actually matched the billed CPT, provider, facility. Date of service. Review the first steps, what to gather, what to ask. When a formal appeal usually becomes the right move.

Appeal Guides

Insurance Paid Less Than Expected: What To Do + How To Fix It

Insurance Paid Less Than Expected: what to do next, when it may be fixable, and the fastest way to tell whether this is an insurer issue or billing correction.

Denial Reasons

Medical Necessity Denial: what it means and how to respond

The payer determined the service was not sufficiently supported as medically necessary. Understand what it usually means, what to verify first, and when a correction or appeal path may help.

Denial Codes

Denial code CO-197: Precertification / authorization / notification absent

The payer believes required authorization or notification steps were not completed properly. Learn what denial code CO-197 usually means, what commonly causes it, and what to review before you appeal.

Procedure Denials

MRI denied for low back pain: what to check first

MRI low-back-pain denials often turn on medical necessity support, failed conservative treatment, and whether symptoms were documented clearly enough. Understand the fastest correction-first checks, related CPT/diagnosis issues, and when a formal appeal makes sense.

Appeal Guides

Allowed Amount Lower Than Expected: What To Do + How To Fix It

Allowed Amount Lower Than Expected: what to do next, when it may be fixable, and the fastest way to tell whether this is an insurer issue or billing correction.

Appeal Guides

Bill does not match EOB line items: what to do next

How to handle provider bills that do not match the EOB and when to fix the bill versus challenge the insurer.

Appeal Guides

EOB Says Not Covered But I Have Insurance: What To Do + How To Fix It

What it means when your EOB says not covered even though you have insurance, and how to separate a true exclusion from a processing or billing mistake.

Appeal Guides

EOB says out of network by mistake: what to do next

What to do when the EOB shows out-of-network processing by mistake and how to prove the network issue cleanly.

Appeal Guides

EOB Says Patient Responsibility Is Higher Than Expected: What To Do + How To Fix It

EOB Says Patient Responsibility Is Higher Than Expected: What To Do: what to do next, when it may be fixable, and the fastest way to tell whether this is an insurer issue or billing correction.

Appeal Guides

EOB Says Processed But Provider Billed Me Anyway: What To Do + How To Fix It

What to do when an EOB says the claim was processed but the provider still billed you, and how to tell early billing from a real balance.

Appeal Guides

EOB Shows Coinsurance Higher Than Expected: What To Do + How To Fix It

What it means when coinsurance on your EOB looks too high, and how to tell real plan cost-sharing from a network or pricing problem.