Nierman Practice Management (Home) › Forums › Dental to Medical Billing, Coding & Documentation › Medical insurance denial › Unique Title 625 625 625
08/01/2024 at 7:16 pm
#256386
Participant
Hi Vicki! Great question. Although the medical insurer may have language in their coverage policies that indicates appropriate provider types for certain procedures/services, any denial you receive with the reason of provider type should certainly be appealed. The nature of the appeal should be that your doctor is working within his scope of practice, is trained for the service/procedure, and should not be discriminated against with that mind. Hope this helps!