US Medical Term · insurance
Denial Notice
Aviso de Denegación
In 9 languages
| Language | Term |
|---|---|
| English | Denial Notice |
| Spanish (Español) | Aviso de Denegación |
| Chinese (中文) | 拒绝通知书 |
| Korean (한국어) | 거부 통지서 |
| Vietnamese (Tiếng Việt) | Thông báo từ chối |
| Filipino (Tagalog) | Abiso ng Pagtanggi |
| Portuguese (Português) | Aviso de Negação |
| Thai (ภาษาไทย) | หนังสือแจ้งการปฏิเสธ |
| Japanese (日本語) | 否定通知書 |
What it means
A denial notice is a written communication from your health insurance company or government health program stating that a claim, coverage request, or prior authorization has been denied—either fully or partially. Federal law requires that denial notices include the specific reason for the denial, the denial code used, the clinical rationale if the denial is based on medical necessity, and clear information about your right to appeal and the steps and deadlines to do so. Do not discard a denial notice; it is the starting document for any appeal you wish to file. Read it carefully to understand the reason for denial, collect relevant medical records and your doctor's documentation, and submit your appeal in writing within the stated deadline—typically 180 days from the denial date.
How to say it
Sentences a patient might use with a doctor, nurse, pharmacist, or insurer:
I received a denial notice saying my hospital stay was not medically necessary.
Recibí un aviso de denegación diciendo que mi hospitalización no era médicamente necesaria.
The denial notice must explain why the claim was denied and how to appeal.
El aviso de denegación debe explicar por qué se negó el reclamo y cómo apelar.
Keep your denial notice because you will need it when you file an appeal.
Guarde su aviso de denegación porque lo necesitará cuando presente una apelación.
Where you'll see it
Related terms
Sources
Last reviewed: September 2026