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Don’t Be Denied

Don’t Be Denied

De : Medical Appeal Experts
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 Bridging the troubled waters of healthcare and health insurance. Whether or not you’ve experienced the many frustrations of having a medical insurance denial, our series of conversations will empower, equip, and prepare you, so you will fully understand how your health insurance works (or doesn’t work). You’ll learn what to do in the event of receiving a medical insurance denial and how to launch an effective appeal effort. For full information on your hosts, Dr. Alan Feren and Jordan Shields, and for all of our service offerings, please visit us at www.medicalappealexperts.com.Copyright 2023 All rights reserved. Hygiène et vie saine Maladie et pathologies physiques
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    Épisodes
    • Why Your Health Insurance Claim Was Denied: Part 2

      Why Your Health Insurance Claim Was Denied: Part 2
      May 4 2023

      In Part 2 of the top reasons for an insurance plan to deny a medical claim, we review prior authorization, fundamental rules on prescription drugs, medical necessity, out-of network providers, emergency exceptions, service types, and bundling of codes.
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      31 min
    • Why Your Health Insurance Claim Was Denied: Part 1

      Why Your Health Insurance Claim Was Denied: Part 1
      May 4 2023

      There are many reasons for an insurance plan to deny a medical claim. In part 1, we cover coding, how to discover what’s covered, how to read your Explanation of Benefits, timing issues and what happens with Coordination of Benefits.
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      28 min
    • How to File a Medical Appeal: A Case Study

      How to File a Medical Appeal: A Case Study
      May 3 2023

      In this episode, we discuss a particular medical appeal process we were involved in for a client. While discussing the particulars of the denial, we go over the dos and don'ts, what information to include in an appeal letter, with whom you can partner in gathering "evidence," and more.
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      21 min
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