Reader Questions:
Understand Appeal Steps
Published on Thu Sep 23, 2021
Question: We recently reported esophagogastroduodenoscopy (EGD)/ upper endoscopy for a 17-year-old patient with abdominal pain. Aetna denied the claim saying it wasn’t medically necessary. Should we appeal? Florida Subscriber Answer: The decision on whether or not to appeal the claim should ultimately be left to the physician, but one thing that could help them in the decision-making process is to [...]