Appeals Audio Conference

Audioconference Title:  Using California Laws to Appeal Denials and Demand Quality Appeal Reviews.

Audioconference Objective:  California has passed a number of managed care and insurance laws to assure medical providers fair claims processing and appeal review. However, these protections may be ignored by the insurance carriers if not cited in your appeal letters. Appeal Solutions has prepared 20 California specific appeal letters that cite your state’s claim processing and appeal review regulations. These letters are designed to assist you hold the insurance carriers to rigorous review and appeal response standards.

Key areas to be covered include:

• State Prompt Payment demand letters and how to use the law to demand speedy resolution of problematic claims.
• State Utilization Review Requirements and demanding preauthorization review in accordance with state law.
• State Disclosure law and what insurance carriers must provide upon request to justify denials. Citing state disclosure requirements can assist medical providers with obtaining information regarding denials and is particularly useful in obtaining the carrier’s internal coding guidelines and fee schedule information used to price claims.
• State Medical Necessity laws and how to demand peer-to-peer review on medical necessity denials.
• State preauthorization requirements and how to appeal emergency care citing state law.
• State specific letters related to refund/recoupment, verification of benefits, timely filing limitations and workers compensation appeals.

There are a limited number of slots available for this audio conference - call 888-399-4925 to reserve your spot today, or click on the link below to register online.

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Download sample appeal  letters


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"The audio conference was very informative. We have implemented a lot of what was discussed during the audio conference. We learned some valuable information about appeals."

"Your audio conference was excellent – I wish I had your brain because you make sense of things that baffle me about insurance."

"We are extremely pleased with the sample Addendum letters-extremely helpful to 'decipher' these type issues."

To read what other conference attendees have to say, click here