Resources to Decrease Denied Medical Claims.
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 APPEAL TOPICS
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 Forum Topics
• Health Net - Appeals processing same underpayment amount
• Maintenance of Benefits
• denials and pt responsibility
• Viant -- Poor Payer
• Horizon BCBS
• EXPERIMENTAL INVESTIGATIONAL
• Humana denying nail debridements when other services rendere
• UBH MNRP - SUBSTANCE ABUSE REV CODES
• UBH substance abuse denial due to rendering provider issue
• Ambulatory Surgery Center Start Date
• Denial based on facility Accrediation in CA
• AUTOMATIC RECOUPMENT-HEALTHPLUS AMERIGROUP
• LA CARE DENIALS
• Medicare denial - referring MD not eligible to refer for ser
• Federal BC pay provider
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