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Referral exhausted

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Nmanju:
Hi,

I have a question. I have a claim which got denied stating the Maximum number of visits authorized have been exhausted on the given referral. And my q is, what should be done in such case. Do we need to call insurance or PCP clinic to add more visits on the same referral. Waiting for UR advice.


Thanks in advance.


Manju

Pay_My_Claims:
depends on the insurance. Some can extend it.

Michele:
Yes, depends on the insurance and also on the type of service.  Sometimes the provider needs to send in a treatment plan to request more visits, sometimes the PCP needs to do another referral.

Michele

NuBiker:
When we were using a billing service, we got the biller a password into each of our insurance websites.
With some of them, like UBH, it's really easy to get an Auth for more visits. Other insurances require the doc to submit paperwork, or at least talk to a case worker.

Nmanju:
so can we register online on insurance website?

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