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Denied by a Nurse Practitioner?

QUESTION: Can a nurse practitioner deny a claim? ANSWER: It does not really matter, as I wrote in some of my earlier blog posts, because the insurance company medical reviewers rarely have any experie… more →

Health Insurance Frustrations

Denied by a Nurse Practitioner?

Health Insurance Frustrations wrote 1 year ago: QUESTION: Can a nurse practitioner deny a claim? ANSWER: It does not really matter, as I wrote in so … more →

Tags: Q & A, 9 Tips to Ensure Your Insurer Pays Up, appeal, claims, Delays, Denials, health-care reform, medical director, PPACA

Things to Consider when Filing a Physical Therapy Appeal — 3 comments

Health Insurance Frustrations wrote 1 year ago: In the months since we filed that External Appeal where they claimed my 8 month pregnant wife had hi … more →

Tags: What to Do If It Happens to You, 9 Tips to Ensure Your Insurer Pays Up, Aetna, appeal, Denials, Health, Physical Therapy

Rules / Guidelines on Medical Specialty for Appeals

Health Insurance Frustrations wrote 1 year ago: 29CFR2560.503-1(h)(3)(iii): a health care professional who has appropriate training and experience i … more →

Tags: Ordeal in 2011, again, appeal, expedited external appeal, External Review, health-care reform, Health, medical director, PPACA

Preparing to File an Expedited External Appeal

Health Insurance Frustrations wrote 1 year ago: Aetna’s Director of Complaints. did not call me back for another week. Then, she offered to ta … more →

Tags: Ordeal in 2011, again, Denials, expedited external appeal, External Review, health-care reform, Health, medical director, PPACA


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