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Health and Medicine
Reply to "fighting with insurance company over denied claim - next step?"
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[quote=Anonymous]You might be out of luck. The MRI almost certainly required prior authorization. That would/should be ignored in an emergency situation, but this doesn't sound like an emergency. You say you have an approval notice. If that really is an approval notice, then the state insurance regulator/consumer protection agency might help you. But I'm guessing that wasn't really an approval, but notice that approval was sought. Similarly, the doctor may have needed to do a peer-to-peer as part of the prior authorization process, but that doesn't mean the full process completed.[/quote]
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