How are claims considered? Can a denied claim be appealed?
A. All claims will be evaluated on a case-by-case basis according to the conditions established by law. Claims may be denied, in whole or in part, when: 1) Required conditions have not been met, 2) When supporting documentation is judged insufficient, or 3) When ineligible costs or expenses are submitted for reimbursement. Applicants are encouraged to provide all relevant background materials and supporting information when submitting a claim.
Related Questions
- When a claim is appealed because the ICD-9 CM diagnosis was orginally denied - do we need to send in supporting documentation to verify the new ICD-9-CM diagnosis?
- If the required NDC information is missing, will the entire claim be denied or just the claim line for the physician-administered drug?
- What should a veteran do if his or her claim for disability compensation is denied by VA?
