Insurance Claim Processing Timeline
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Questions and Answers

What is the timeframe within which an insurer must respond to a claim in writing?

  • 30 calendar days
  • 60 calendar days
  • 40 calendar days (correct)
  • 90 calendar days

    • What happens if an insurer needs more time to respond to a claim?

  • The claim is automatically denied
  • The claimant is notified of the delay and given an explanation (correct)
  • The Department of Insurance is notified
  • The claim is resolved without further action

    • What is the exception to the 40-day rule for responding to claims?

  • Claims made under health insurance policies
  • Claims made under disability or disability income policies (correct)
  • Claims made under life insurance policies
  • Claims made under auto insurance policies

    • What must an insurer provide to the claimant in the event of a denial?

    <p>Contact information for the Department of Insurance</p> Signup and view all the answers

    How often must an insurer provide written notice to the claimant if they need more time to respond to a claim?

    <p>Every 30 calendar days</p> Signup and view all the answers

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