payer rights

Payer rights refer to the protections and entitlements you have when dealing with health insurance companies. These include the right to clear information about coverage, timely processing of claims, fair treatment, and appeal options if a claim is denied. You have the right to understand what your insurance covers, ask questions, and get reasons for decision-making. Additionally, insurers must handle your personal data confidentially and provide accurate, prompt responses. Knowing these rights helps you ensure you receive the coverage you're entitled to and allows you to challenge decisions if necessary.