veeramani14
Networker
Dear all,
I got denial from BCBS stating that no medical necessity for the procedure codes 22524, 22840, 72291-26. Then we send medical records,Again the doctor from the insurance said "the service provided has not meet the medical necessity". The patient is 51 yrs female with history of breast cancer now in chemotheraphy. the chief complaint is compression fracture of lumbar. Is there any way to appeal the insurance to get the payment?
Can anyone clarify this!!!!!!!!!!
I got denial from BCBS stating that no medical necessity for the procedure codes 22524, 22840, 72291-26. Then we send medical records,Again the doctor from the insurance said "the service provided has not meet the medical necessity". The patient is 51 yrs female with history of breast cancer now in chemotheraphy. the chief complaint is compression fracture of lumbar. Is there any way to appeal the insurance to get the payment?
Can anyone clarify this!!!!!!!!!!