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This Notice is Provided to You because You Are Guilty of a Reduction or Denial of Services to Form

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This Notice is Provided to You because You Are Guilty of a Reduction or Denial of Services to Form

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but basically one of the things that I think gets overlooked because it was so big is the right to appeal a medical necessity denial so that's actually built into the law uh and uh changed even um rules that apply to State regulated plans uh essentially everybody has the right to appeal a decision not only at an internal level within the plan like let's say you know one of the big insurers says yeah this isn't medically necessary you have a peer-to-peer um they uh cannot have that be the final world where they actually have to let you both appeal internally and also allow you to go to an external review organization and I think a lot of pts don't really push the envelope to get to that external review it's a right that every patient has guaranteed by that act

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