eNewsletter

November 1, 2012

Greetings {ContactName|Appeal Letter Subscriber},

Using Disclosure Laws to Obtain Usual, Reasonable & Customary Denial Information

UCR denials are often mired in mystery.  What does usual, reasonable and customary mean?  How are the reimbursement rates calculated?  Are payers using governmental entitlement program benefits as a basis for calculating UCR?  What proof has the payer collected that actually demonstrates that the denied claim has been billed at a rate above the norm. . .

Continue reading this article at AppealLettersOnline.com


AppealLettersOnline.com Featured Letters

The AppealLettersOnline.com Repository has numerous state-specific letters citing disclosure laws. These letters directly quote state standards which require certain insurance plans to release information regarding how policy or plan benefits are calculated. There is also an ERISA letter which assists providers appeal ERISA UCR denials by utilizing the ERISA Advisory Opinion 96-14A.

Access the appeal letters at AppealLettersOnline.com

 

Fall Special

For a limited time new members will receive a 10% discount off the normal membership price.  When signing up online use the coupon code NOVSPECIAL to receive your discount on membership to AppealLettersOnline.com.  Take advantage of this special price today as this offer expires on 11/15/2012.

Signup online at this special price or call 888-399-4925.

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