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Insurance & Billing
Complex Insurance Appeal
Organize a complex appeal around the record and deadlines.
What this covers
Case review required; scope, contacts, timing, and fee are set in the Statement of Work.
Included
- Denial and deadline review
- Administrative appeal planning
- Document organization
- Submission support as agreed
Not included
- Legal representation
- Clinical opinions
- Outcome guarantees
- Success fees
Deliverables
- Written scope
- Appeal support deliverables stated in the agreement
Requirements
- Case review
- Signed agreement
- Required acknowledgments
This service provides administrative, informational, organizational, navigation, communication, research and advocacy support. It is not diagnosis, treatment, prescribing, medical decision making, nursing, legal representation, legal advice, insurance sales or brokerage, or emergency care.
Case review required
Duration
Per written scope
Contacts
0
Revisions
1
Mode
Request
A new appeal level requires a new written scope.