So back in June, I went to my dermatologist after I had a pretty bad ezcema flare up on my face, neck, and arm. The doc prescribed me steroid creams and it took a couple months for the ezcema to fade (I went back every month for a follow up, it never did fully go away). I’ve been to this dermatologist in the past for other reasons (acne mainly) and I’ve never had any insurance problems.
But today, I just received a letter in the mail from Fidelis Care (my health insurance, secondary is Medicaid) called “Initial adverse determination denial notice”. I have no idea what it means and it says Fedialis Care denied payment for a claim and that it’s because “office or other outpatient visit for the evaluation and management of an established patient which requires a medically appropriate history and/or”. The claim is about the first time I visited my dermatologist in June.
I have 60 days to appeal but I have no idea what this letter is even about. Could someone explain?
submitted by /u/Bao_4
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So back in June, I went to my dermatologist after I had a pretty bad ezcema flare up on my face, neck, and arm. The doc prescribed me steroid creams and it took a couple months for the ezcema to fade (I went back every month for a follow up, it never did fully go away). I’ve been to this dermatologist in the past for other reasons (acne mainly) and I’ve never had any insurance problems. But today, I just received a letter in the mail from Fidelis Care (my health insurance, secondary is Medicaid) called “Initial adverse determination denial notice”. I have no idea what it means and it says Fedialis Care denied payment for a claim and that it’s because “office or other outpatient visit for the evaluation and management of an established patient which requires a medically appropriate history and/or”. The claim is about the first time I visited my dermatologist in June. I have 60 days to appeal but I have no idea what this letter is even about. Could someone explain?
submitted by /u/Bao_4 [link] [comments]Read Morer/HealthInsurance