A denial letter for a second opinion contains: a. A history of ...

[jilianpiloj]

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

[chereeb]

Answer to Question 1

C

Answer to Question 2

B

[jilianpiloj]

YES! Correct, THANKS for helping me on my review

[kishoreddi]

Thanks for the timely response, appreciate it