Intravitreal Injection Claim Denial After PA: “Approved… Then Denied Anyway” (Coding + Paperwork Fixes)
Summary and next steps Prior authorization and payment of a later claim are different decisions. Obtain the written denial, compare service details and preserve the relevant appeal deadline. Request the denial notice and claim reference. Ask the clinic to compare authorization, drug, date and place of service. Confirm the appeal route and deadline in the … Read more