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Assisting Your Out Of Network Patients with Network Inadequacy Appeals
Network adequacy/access to specialist standards are designed to make sure that health plans have
an adequate network of providers within a specific geographic area and sufficient specialty care
providers to provide quality care. These regulations often specify. . . .
Read
this article >> |
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AppealLettersOnline Featured Resources
AppealLettersOnline.com has more extensive information on network adequacy appeals and hundreds of
appeal letter templates for this type of appeal. See the topic area
Medical Necessity Appeal
Component Two: Cite Regulatory and/or Compliance Information for more complete information and
letter access. New letters now available under this Topic area include:
- Arizona Access Plan
- Minnesota Standing Referral Law
- Ohio Access Plan
Existing letters for appealing lack of innetwork availability and direct access/standing
referral are available for other states.
Access these letters >>
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5 Sentences To Improve Your Appeal Letters
We hope you received this week’s e-mail about new resources added to AppealLettersOnline. Our
redesigned site now provides a comprehensive online manual for appeal success and includes a
number of resources and mini training sessions for you to implement for staff training and appeal
development purposes.
Our slideshow, 5 Sentences To Improve Your Appeal Letters focuses on immediate changes you can
make to strengthen any appeal letter. Members have free access to the slideshow which can be
reviewed for your own appeal letter improvement or used for your organization’s staff training.
The presentation discusses how to establish your right to a quality appeal, what to seek to
assure a quality appeal review and how to demand disclosure of pertinent denial details. Further,
5 Sentences To Improve Your Appeal Letters can be customized for your specific needs and presented
by Appeal Solutions' President, Tammy Tipton via phone or in-house. Our customized presentations
always include 10 – 20 customized appeal letters specific to your organization and a comprehensive
discussion of how to most effectively appeal your denials. Email Tammy Tipton at
t.tipton@appealsolutions.com to describe your customized training needs and receive a quote for
a presentation to your organization.
View this slideshow presentation >> |
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