Wiki How can I get this claim paid - 17110 "Not medically necessary" ?

[hsander]

In order to get this wart removal paid, will a note on the claim be sufficient to show medical necessity?

 

[vanessamoldovan]

In order to get this wart removal paid, will a note on the claim be sufficient to show medical necessity?

Who is the payer?

 

[hsander]

Who is the payer?

United Health Care

 

[Orthocoderpgu]

Consider cutting your losses. Once UHC denies a claim you have to move heaven and earth, and go through five acts of congress to get them to properly reconsider it for benefits. You'll get 35 "duplicate claim" denials before they will actually reprocess it, and for what $40?

 

[vanessamoldovan]

Consider cutting your losses. Once UHC denies a claim you have to move heaven and earth, and go through five acts of congress to get them to properly reconsider it for benefits. You'll get 35 "duplicate claim" denials before they will actually reprocess it, and for what $40?

United Health Care

UHC usually follows LCD guidelines for medical necessity.