ASK A QUESTION

Denial Incorrect: No Authorization

For incorrectly denied or underpaid Original bills, DaisyBill advises filing a Second Review and including IBR decisions as supporting documentation.

Official Medical Fee Schedule

Any

CPT Code(s)

Any

Payable

Yes

EOR Denial Reason

The billed service was not authorized by UR.

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Second Review Reason (SBR-1 Form)

Recommended Reason

UR authorized all billed services. Please reprocess this bill and issue payment. Documented authorization submitted with original bill.  

The authorization is included with this SBR-1 Form.

Optional: Attached is a copy of an OVERTURN IBR Decision indicating this incorrect denial will be overturned when reviewed by IBR.

Recommended Supporting Documents

DaisyBill Resources

Webinar: Request for Second Review

Webinar: Second Review Strategy Kit, Part I

Webinar: Second Review Strategy Kit, Part II

DaisyBill Solution

Every request for Second Review submitted from DaisyBill is compliantly submitted using both a completed DWC Form SBR-1, as well as a compliant modified CMS 1500.

REQUEST DEMO

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