In: Nursing
You receive an insurance denial when billing a vaccine (90700) with
the administration code of 90473. What needs to be changed to
resubmit and appeal this claim, or do you write off?
The Appeals Process for Denied Claims: What to Do
The affordable Care Act gives everyone the right to ask insurers to reconsider a denied claim or appeal their decision.
When a health plan conducts a review of an appealed claim,the process is referred to as an "internal appeal".In the
event that the plan denies the appeal,the ACA allows for an independent review organization to conduct an external
review.