It’s not uncommon for some insurance companies to deny payment for chiropractic treatment. Before you become too alarmed, it’s essential to understand the reasons for the denial. In some cases, you may be able to fix things and get your chiropractic treatment reimbursed.
One of the top reasons that chiropractic treatment is denied is because there are mistakes in the billing. Chiropractors are human, and they make mistakes. Sometimes, those mistakes involve an incorrect code or billing modifier. If a chiropractor doesn’t input the right bundled code and bills separately for each modality, the insurance company may flag it.
In other cases, some insurance companies will look to deny your chiropractic treatment if there are gaps in your treatment or you waited too long to start treating. If you had any pre-existing conditions, the adjuster may claim you would’ve had treatment anyway for your problems that pre-date the accident. They may say the treatment you sought was excessive or the chiropractor overbilled.