dsg862
Guest
I have one insurance company that keeps denying an assistant surgeon for a procedure that MCKesson says yes, medicare says yes and all other commercial insurance companies pay for without getting a preauthorization for the assist. surgeon. This company says their HMO (including all of it's various types of HMO) requires an auth across the board. When I ran a report to see what this company has done in the past year, I see that they pay 68% of the time without the auth and deny the rest. When I asked for their policy in writing it was denied to me. How can I fight this?
dsg862
dsg862