Question: Help This question will be sent to your instructor for grading- Rancho Cucamonga, CA 91730 Patient: Matthew West ID # XEH987159351 Claim ID # 74123058412

Help This question will be sent to your
Help This question will be sent to your instructor for grading- Rancho Cucamonga, CA 91730 Patient: Matthew West ID # XEH987159351 Claim ID # 74123058412 DOS CPT CHARGE ALLOWED ADJUSTMENT CODE pos PATIENT INS AMOUNT AMOUNT AMOUNT RESPON PAYMENT 11/1/XX 99233 550.00 185.00 21 $ 0.00 A 44950 1800.00 1500.00 21 $0.00 8:05 A d Total $2,350.00 $1,685.00 $ 0.00 Code A- No authorization for this procedure ces Please review the above EOB. Why was this claim not paid? What is your next step to receive payment? You reviewed your billing software patient account, and notice that you show proof of authorization for the above admission and procedure. You have a copy of the authorization number- BG741523689000, Reference # 741HFY518, and the hospital spoke with Regan on 11/1/ XXXX You have decided to appeal the claim. Write a professional appeal letter to Upland Medical Group to request an appeal. Use Microsoft word to complete this assignment. Please upload your document to this assignment. Prey 1 of 1 Next

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