Claim Denial
/ˈkleɪm dɪˈnaɪəl/
Definitions
- (n.) The refusal by an insurer or other party to honor a claim submitted for payment or coverage.
The claim denial was issued because the policy did not cover the treatment.
- (n.) A formal decision rejecting a legal demand or assertion in civil or administrative proceedings.
The claimant filed an appeal after receiving the claim denial from the agency.
Forms
- claim denial
- claim denials
Related terms
See also
Commentary
Claim denial often triggers procedural rights such as appeal or reconsideration; precise grounding of denial reasons aids dispute resolution.
This glossary is for general informational and educational purposes only. Definitions are jurisdiction-agnostic but reflect terminology and concepts primarily drawn from English and American legal traditions. Nothing herein constitutes legal advice or creates a lawyer-client relationship. Users should consult qualified counsel for advice on specific matters or jurisdictions.