APPEALING DENIALS

The process of responding to and overturning denials is streamlined by the integrated database of over 1500 professionally written appeal letters.  Choose a letter from the templates available supporting your position on the denial issue.  A letter, complete with patient and health plan demographic data, is then generated.  All you need to do is print, sign and send it.

• Cite Timely Payment Statutes to prompt immediate action by the carriers which are unnecessarily delaying payment.

• Cite medical necessity and preexisting statutes and case law.

• Collect benefits promised during the verification of benefits.

• Appeal coverage terminations with COBRA legislation.

• Appeal self-funded denials with ERISA statutory and case citations.

• Expedite and appeal precertification determinations with utilization review laws.