Appealing Health Plan Denials
Health plans deny speech-language pathology and audiology services for a variety of reasons, and often deny claims for services that appear to be reasonable and necessary. This practical guide helps clinicians respond to and appeal these claims. Treatment Efficacy Statements are provided to support the medical necessity requirement of many health plans. Sample appeal letters for a variety of conditions are provided in hard copy format, as well as in Word format on CD for easy customization.