| Claim denied as Inclusive or Bundled or Mutually exclusive | ||
| 1 | May I know the Claim received date | |
| 2 | May I know the claim denied date | |
| 3 | May I know to which procedure code it is inclusive/bundled/mutually exclusive | |
| 4 | May I know to which date of service | |
| 5 | Can we appeal with modifier | |
| If yes | If No | |
| 6 | May I know the appropriate modifier for the procedure code. If rep provides then Call telephonic re-opening line update the modifier and send the claim back for reprocess | Can we appeal with Medical Records |
| Appeal Limit and appeal address and appeal Fax# and attention to | ||
| 7 | May I know the claim# | |
| 8 | May I know the call ref# |