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Author Question: A denial letter for a second opinion contains: a. A history of the Group/IPA previous denials b. ... (Read 79 times)

jilianpiloj

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on: Jun 27, 2018
A denial letter for a second opinion contains:
 
  a. A history of the Group/IPA previous denials
  b. Two copies of the letter for physician and patient records
  c. The date services were requested
  d. A referral for other second opinions

Question 2

Under the Affordable Care Act, patients are given the right to appeal health insurance plan decisions. With the first denial of payment, the plan must notify the patient of:
 
  a. The right to a third opinion
  b. The reason for denial
  c. The patient's prognosis
  d. Alternative healthcare such as acupuncture


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chereeb

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Reply #1 on: Jun 27, 2018
Answer to Question 1

C

Answer to Question 2

B


jilianpiloj

  • Member
  • Posts: 521
Reply 2 on: Jun 27, 2018
Thanks for the timely response, appreciate it

vickyvicksss

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  • Posts: 351
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

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