I am at a relatively new practice in Los Angeles, CA, and I am currently in charge of all billing and collections. For some insurances, we are getting letters saying that what we are sending does not ‘qualify’ as an appeal…….what? I’ve never heard this. Also, some insurances are just plain denying our ‘appeals’ (in quotes since they are not appeals, apparently) point blank, and we have no where to go. Has anyone worked with this before and how do I go about fixing it?
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