Understanding the Medical Insurance Review Process – The Five Key Steps in Medical Insurance Review
Medical insurance reviews provide results in a timely fashion. Filing a medical claim can be a lengthy process prone to miscommunication and breakdowns in the chain of paperwork. Bringing in an independent review organization can tap into deep reservoirs of medical expertise. The review on this level can determine an objective approval or denial of an insurance claim. The denial will be based on medical fact, however and not on anecdotal evidence.
The Five Key Steps in Medical Insurance Review
The following steps illustrate how a medical claim is reviewed.
A patient is prescribed a treatment for a condition or injury. The medical opinion of the attending physician along with related charts and information may be submitted or requested in order to request coverage of the insurance claim.
Medical and physician resources are provided the medical information and asked to review the treatment and prescribed recommendations.
The medical specialist assigned to the case will provide an unbiased opinion with regard to the...
To view and download this full PLR article, you must be logged in. Registration is completely free. Once you create your account, you will be able to browse, search & downlod from our PLR articles database of over "1,57,897+" on 1,000's of niches and 200+ categories without paying a penny. Click here to signup...
