Your coverage had ended by the time this service was performed. The insurer will not pay for services after your termination date.
Verify your termination date. If you had COBRA or a qualifying event that should have extended coverage, provide documentation. If coverage truly ended, check whether you qualify for retroactive enrollment.
Appeal outlook: Low unless coverage termination was in error
Recommended tool
Bill Advantage can analyze your denial and generate a ready-to-send appeal or dispute letter in minutes.
Open COBRA Analyzer