What is the difference between a claim and an appeal?

A claim and an appeal are both steps in the insurance claims process, but they are very different. A claim is a request for payment from an insurance company. This can be for a medical service, a repair, or any other type of expense. An appeal, on the other hand, is a process that allows people to request a review of a claim that has already been denied by the insurance company. The appeal process allows an individual to make their case for coverage to the insurance company. In Washington, there are certain laws that govern the insurance claims and appeals process. These laws are in place to protect the rights of policyholders in the state and to ensure that insurance companies are held accountable for their decisions. As a summary, the difference between a claim and an appeal is that a claim is a request for payment from an insurance company and an appeal is a process to request a review of a claim that has already been denied. In Washington, there are laws that govern both of these processes, which help protect the rights of policyholders in the state.

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