Frequently Asked Questions

Why is YF Corporation the best choice?

Our Certified PPACA ERISA Medical Claims Appeals Specialists have over a decade of experience in appealing denied claims under ERISA rules and regulations.  In addition, we have become a national leader in the claims appeals process by participating in the nation’s first PPACA Claims Appeals Certification program. Learn More

What constitutes a denied claim (adverse benefit determination)?

Can I appeal denials for overpayment refund requests?

What constitutes an appeal?

A simple request for “documentary information” is not an appeal. Appeals must be submitted according to the individual health plan documents and must request for a “full and fair” review of the denied claim. This means the appeal has to conform to the patient’s health plan documents as established in the summary plan description (or SPD).