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Coding Info |
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Suggestions and |
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Procedures |
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FAQs |
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Suggestions and |
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Procedures |
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Checklist |
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Insurance Overview |
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CORE Hotline |
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Patient Assistance |
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Program |
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Glossary |
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How To Register |
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Contact Us |
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| Appeals | Suggestions and Procedures |
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| Find out why the claim has been denied |
You can find the denial reason on the Explanation of Benefits (EOB). Include a copy of the EOB and denial letter with your appeal.
| Do not change codes after a denial unless there is documentation to support the change |
| Write an appeal letter and include supporting documentation |
See the Checklist for a list of documentation that may be included.
| Submit your appeal before the deadline |
Contact the payor to find out the appeal deadline.
If the payor has not responded within 30 to 60 days of receipt of the appeal, follow up with the payor.
| Keep a copy of everything you send |
It's also a good idea to keep a telephone log with the names of people you speak with, the date and time you spoke with them, and pertinent information.
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