Post #3895049
2026-07-17 15:20 UTC
@Brad_Rosenheim@climatejustice.social I'm sure you've received all sorts of advice, from a former billing & coding person, she needs to ask for
1) the name & credentials of the person who reviewed & denied the authorization & on what grounds
2) the denial in writing, specifying the justification for the denial, code by code
3) the page number in her benefits & coverage book indicating the planned procedure is not a covered benefit
Then follow up the phone call with a certified letter signature required to dept head
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