| Claim denied for incorrect Place of Service | |
| 1 | May I know the Claim received date |
| 2 | May I know the claim denied date |
| 3 | May I know the correct place of service for the procedure |
| 4 | May I know the appeal Limit and appeal address and appeal Fax# and attention to |
| 5 | May I know the claim# |
| 6 | May I know the call ref# |