Detailed Explanation of Non-Coverage (DENC)

A Detailed Explanation of Non-Coverage (DENC) is a document provided by health insurance companies to policyholders to explain why a particular medical service or treatment was not covered under their insurance plan. The DENC typically outlines the reasons for the denial, including policy exclusions, limitations, or failure to meet medical necessity criteria. This information helps policyholders understand why their claim was denied and provides guidance on next steps, such as appealing the decision.