Claim denied for pre - exisiting
Practice address with Phone#
______________________________________________________________________________________
Dr.
Attn:
Address here
............
............
Re: Request to re-view the diagnosis codes whether falls under pre-existing period.
Patient Name :
Primary Carrier :
Health Insurer Identification Number :
Denied Claim Reference Number:
Dear Sir/Madam:
This is to bring to your kind attention that BCBS denied the above mentioned patient’s claims for pre-existing condition information hence we would like to request you to review the diagnosis codes mentioned below in order to determine if any of these codes fall under the waiting period.
The diagnoses are:
491.20, 518.82, 786.52, 511.9, 486, 510.9, 496, 510.9, 786.09, and 780.53……..
Thank you for reviewing and assisting us in reversal of this claim denial. If you require any
additional Information, please contact me at 407-745-1849 between the hours of 8:00 a.m and 5:00 p.m.
Sincerely,
(Account Receivable – Reimbursement Specialist)
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