Articles Tagged With: payer
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Payers claim procedures weren’t medically necessary
With medical necessity denials, “prior authorization is ‘job-one,’” says John Holyoak, director of product management at RelayHealth Financial, which is based in Alpharetta, GA.
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Did payer deny claim? Look closely to see if contract allows it
Many patient access leaders are seeing a sharp increase in claims denials, primarily due to more numerous and stringent payer requirements.