CA PPO Script – Patient not Eligible
August 30, 2020 11:06 pmASK YOURSELF: Was the coverage terminated? Did we verify eligibility? IF SO, WHAT DATE? Did the plan make negligent misrepresentation... View more
ASK YOURSELF: Was the coverage terminated? Did we verify eligibility? IF SO, WHAT DATE? Did the plan make negligent misrepresentation... View more
ASK YOURSELF: Is this claim or appeal “truly” filed late or has the plan mishandled the initial timely submission of... View more
ASK YOURSELF: What date was the claim initially billed? Was there any written communication (request for information, denial, underpayment) from... View more
ASK YOURSELF: Was the coverage terminated? Did we verify eligibility? IF SO, WHAT DATE? Did the plan make negligent misrepresentation... View more
ASK YOURSELF: How many days after payment, did the insurer request the refund? Why did the plan request the money... View more
ASK YOURSELF: Who denied the claim? What is the professional’s license number with the State Medical Board? Were they a... View more
ASK YOURSELF: What was the patient’s presenting symptoms or chief complaint in the emergency room? Did the plan pay for... View more
ASK YOURSELF: Who denied the claim? What is the professional’s license number with the State Medical Board? Were they a... View more
ASK YOURSELF: Did we verify eligibility? IF SO, WHAT DATE? Did the plan make negligent misrepresentation of the patient’s eligibility?... View more
ASK YOURSELF: What date was the claim initially billed? What date was the claim paid? Did they pay this claim... View more