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 EXTERNAL APPEAL APPLICATION Activehealthcom 2015

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foreign hi I'm filling out an appeal form for a denial of a spinal treatment and an extra spinal treatment and an examination those are things I'm legally allowed to do here in New Jersey I'm Dr Donald Fabio so what am I doing I'm filing a medical necessity appeal every time I get a denial of a service which I feel is appropriate it's in the policy Provisions I follow a medical necessity appeal why a medical necessity appeal because a medical necessity appeal goes down the appeal process and at the very bottom of it is called an iuro an independent review an independent review costs the insurance carriers anywhere from 600 to a thousand dollars alone so right off the top filing a medical necessity review could cost the carrier a significant amount of money even if they don't pay my bill it still costs them a lot of money if you file a patient appeal or a provider appeal let me rephrase that if you file a provider appeal it goes over here under administrative review if you do an adminis

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