Wiki Denials for Depression etc.

stellintx

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Hi there all!

I am receiving a lot of denials for depression and anxiety for family practice physicians saying that the office visit is not covered for this diagnosis.

My co-workers are telling me that sometimes insurance companies will cover these when you send an appeal that the condition was "organic". However, I am finding that these appeals are not getting paid. I don't want to waste my time appealing claims that won't be paid over and over again.

I am thinking that these patients just don't have mental health benefits and that is why they won't pay. Of course, I could be wrong, which is why I am here and I would love to hear what experience everyone has had with this.

Thanks,
Stella
 
I think, too, that insurance companies are pushing patients to be managed by mental health professionals for their issues. You can always request the insurance company to give its logic.
 
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