The Following are the Actions that would be taken on Denials/ Rejections:
- Action on Regular Mails
- Types of issues that we encounter in regular mail and how do we resolve them
- No coverage at TOS
- Benefits Exhausted
- Non-Covered Services
- Unable to Identify Patient
- Require Medical Records/Denial for Medical Necessity
- Unbundled procedures
- CPT/diagnosis inconsistent or invalid
- Applied to Deductible
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