How Insurance Supports CQC Compliance in Care Services 

Having a claim rejected can be stressful, especially when you’re running a health or social care 

Organization and people depend on your services. While rejections are rare if policies are set up 

correctly, it’s important to know what steps to take if it happens. 

1. How Insurance Supports CQC Compliance in Care Services 

Carefully read the insurer’s explanation. Common reasons include:

2. Review your schedule and policy wording to confirm whether the insurer’s decision aligns with what you agreed to. 

Carefully read the insurer’s explanation. Common reasons include:

3. Appeal or Provide Additional Evidence 

4. Raise a Complaint 

if you’re not satisfied, you can raise a complaint with the insurer. As a last resort, you can 

escalate the case to the Financial Ombudsman Service (FOS).

cover the realities of your organization and guiding you through the claims process.