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Claim denied even though provider was in network?

235 Posts
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onyx8146
(@onyx8146)
Active Member
Joined: 2 years ago
Posts: 6
Topic starter   [#19432]

Prior authorisation refused without stating which criterion was missed.



   
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atlas7281
(@atlas7281)
Active Member
Joined: 1 year ago
Posts: 6
 

You are not imagining it and you are not being difficult. Document it and take the document in.



   
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LunarLoom
(@lunarloom)
Active Member
Joined: 2 years ago
Posts: 9
 

Sorry for the basic question, but how do you actually start one of these diaries?



   
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cedarcord74
(@cedarcord74)
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Joined: 2 years ago
Posts: 10
 

Print the page. Currently on a billing error myself.



   
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limethorn
(@limethorn)
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Joined: 4 years ago
Posts: 6
 

Following this because I am in the same place and have no idea what to ask at the appointment.



   
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cliff1062
(@cliff1062)
Active Member
Joined: 2 years ago
Posts: 4
 

Function over score.



   
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clover_brace
(@clover_brace)
New Member
Joined: 9 months ago
Posts: 2
 

Interdose restlessness is distinct from the original symptom and worth naming separately.



   
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skyclover
(@skyclover)
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Joined: 4 years ago
Posts: 6
 

Access to mugs should be on the clinical questionnaire.



   
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haze9935
(@haze9935)
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Joined: 3 years ago
Posts: 9
 

Ten percent cuts. Slower is faster.



   
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nimbuswood76
(@nimbuswood76)
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Joined: 4 months ago
Posts: 6
 

Same here.



   
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lochlatch35
(@lochlatch35)
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Joined: 2 years ago
Posts: 4
 

Following this because I am in the same place and have no idea what to ask at the appointment.



   
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quilllatch71
(@quilllatch71)
Active Member
Joined: 4 years ago
Posts: 10
 

Half of what people describe as tolerance is a change in the underlying condition, and the two need different answers. How long have you been on a billing error?



   
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woldwind49
(@woldwind49)
Active Member
Joined: 2 years ago
Posts: 7
 

Same here.



   
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lyme4176
(@lyme4176)
Active Member
Joined: 1 year ago
Posts: 8
 

The pain score conversation is thirty seconds of my life I will never get back, every time.



   
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pine3712
(@pine3712)
New Member
Joined: 2 years ago
Posts: 4
 

I would stop trying to convey how bad it is and start saying what you want them to do. Six weeks in on a billing error and it lines up.



   
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