MrsAshley724
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I received a denial that stated that we must include a definition or description of the nature, extent and need for the procedure or service, as well as the provider's time, effort and equipment necessary to provide the service. The record does not include a separate letter identifying the procedure and comparable code. Therefore no payment is allowed. In the past, we've submitted records and have gotten paid. This is new to me. Has anyone received a denial from an insurance company stating they need this information?