Customer Story - Imagn Billing
April 25, 2023 • 5 mins readDenial Turned Success Story for TMJ Treatment
A patient's TMJ treatment was initially denied for provider type not allowed for benefits under the plan, but the Imagn team appealed for medical necessity and several months of review overturned the denial.
In this Article
- Amount Billed : $1,000
- Amount Paid : $1,000 toward deductible
- Insurance Carrier : Anthem Bluecross
This patient suffers from TMJ issues and severe pain. The provider custom fabricated the dme guard to help alleviate symptoms. The claim was originally denied for provider type not allowed for benefits under the plan. The Imagn team appealed for medical necessity and several months of review resulted in denial overturned.
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