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Maximize the likelihood, of getting paid when appealing administrative denials.
- Source :
-
Getting Paid in Behavioral Healthcare . Mar2005, Vol. 10 Issue 3, p1-4. 4p. - Publication Year :
- 2005
-
Abstract
- The article discusses the concept of administrative denials in health insurance reimbursement. An administrative denial is the findings from a managed care organization or an insurance company in which due to certain provisions of a patient's health plan, a service is not covered under the health plan despite clinical merit. Insurance companies and managed care organizations can still issue administrative denials even if the service is medically necessary.
- Subjects :
- *HEALTH insurance
*HEALTH insurance reimbursement
*INSURANCE claims
*MEDICARE
Subjects
Details
- Language :
- English
- ISSN :
- 15417646
- Volume :
- 10
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Getting Paid in Behavioral Healthcare
- Publication Type :
- Periodical
- Accession number :
- 20318371