Why are my insurance claims being denied when they were processed earlier in the year?
Published: Sep. 4, 2026Updated: Sep. 4, 2026
This answer can be found in your Explanation of Benefits (EOB), which is a document the plan creates for every claim that is processed. Look for the reason code and its corresponding explanation. Here are some possible reasons your claim was denied:
- Not all plan years coincide with the January to December calendar year. Your plan year could have rolled over, and now your claims are applying to your deductible.
- A pre-authorization is now needed for services that were initially allowed.
- The health plan may have added a new requirement for coding from the provider, who will need to revise their superbill.
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