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Embrace denied for late filing

Late filing denials are difficult to overturn, but not impossible. Extenuating circumstances, vague deadline language in the policy, and whether the insurer was actually harmed by the delay are all worth examining.

Typical appeal win rate
Low-Medium

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Why Embrace denies claims for this reason

The claim was submitted after the insurer's filing deadline, which varies from 90 to 365 days depending on the insurer
The pet owner was not aware of the filing deadline
Extenuating circumstances prevented timely filing

Your strongest appeal arguments

Document any circumstances that prevented you from filing on time.
Check whether your policy uses a fixed deadline or the phrase reasonable time. These are legally different.
Argue the insurer was not harmed by the delay. All medical records exist and the claim is fully documentable.
Check whether the insurer notified you in writing of the filing deadline when you enrolled.

Documents to gather before you appeal

Documentation of the circumstances that caused the delay
Your policy's exact claim filing deadline language
Proof of when you first became aware of the filing deadline

Timeline

File your appeal immediately. Late filing appeals are time-sensitive.

If your appeal is denied again

If the policy deadline language is ambiguous, a DOI complaint citing that ambiguity is worth filing. Use PawClaim's DOI escalation tool ›

Not sure where to start?

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