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Obtaining Correct Benefit Information Prior to Treatment
Most healthcare organizations supplement online eligibility information by verifying
benefits over the phone. Unfortunately, carriers routinely warn that benefit information
obtained over the phone is "not a guarantee of payment."
One way to obtain more accurate benefit information is to take the verification of benefits
process "one step further" by demanding Benefit Clarification Disclosure.
Read this entire article...
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AppealLettersOnline Featured Letter
AppealLettersOnline.com has added a letter to assist subscribers with seeking benefit disclosure prior
to treatment. See the new letter entitled "Pretreatment Request for Benefit Disclosure" under the
Appeals Repository Topic, "Information Requests" and the subcategory, "Pretreatment Benefit Disclosure."
Also, see the range of state-specific disclosure letters under the category, "Benefit Reductions" and
the subcategory, "State Mandates."
Sign up to access these letters
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Customized Appeals Training
Appeal Solutions provides customized training on how to use your state utilization
review laws and ERISA protections to demand prompt, professional
precertification and verification of benefits.
Because precertification and/or verification procedures vary significantly from provider to provider,
we will
tailor denial avoidance training to meet each client’s unique challenges. Our
Customized Denial Avoidance Training is presented by phone and web presentation
to your staff only to allow the entire presentation to focus on your staff’s
pretreatment process. The entire 90-minute presentation will be designed to
address the verification and precertification issues unique to your
organization and will include numerous sample letters and tracking tools to
allow you to demand the carrier's compliance with state and federal law.
Read more about this training program... |
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