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Sunday, 20 May 2012

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Appeals and Denials
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  Link   California DMHC Review Denials Rate
A California Department of Managed Health Care (DMHC) overview of health plan denials overturned by Independent Medical Review (IMR)
  Link   RAND Study of Appeals and Denials: California
It's hard to get an accurate handle on the number of appeals and denials by health plans. This is especially true if you try to drill down for specific indications. This RAND review is a good summary of the problems and some existing data.
 

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