Question

In: Nursing

You receive an insurance denial when billing a vaccine (90700) with the administration code of 90473....


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?

Solutions

Expert Solution

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.


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