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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