| Claim denied as Not Medically Necessary | ||
| 1 | Date when the claim was received. | |
| 2 | Date when the claim was denied | |
| 3 | Check whether the CPT is not medically necessity or Diagnosis code is not medically necessity | |
| 4 | Can we appeal with Medical Records | |
| 5 | May I know the appeal limit and address | |
| 6 | May I know the fax# to fax the claim with MR notes and whose attention it should be | |
| 7 | May I know the claim# | |
| 8 | May I know the Call reference# |
