Resources to Decrease Denied Medical Claims.
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 APPEAL TOPICS
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 Forum Topics
• Exceptions to the Statute of Limitations for Refund Request?
• Aenta denial for assistant at surgery
• Denial for Lack of authorization from network (primary care)
• paid at contracted rates when not contracted
• Hospital-denied-no precertification-no auth-no notification
• Insurance information not provided at time of service
• Applying Payments towards patients deductibles
• MCR105 Rating system
• Untimely Filing due to wrong Primary Insurance Billed
• Medicaid refund request
• denial for family therapy
• non-par with Oxford
• MD paid but the facility was not
• infant claims
• Emergency Services Appeal (Dr wants 100% of billed charges)








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