What is my recourse if there is noncertification?
An appeals process is available when a service has been noncertified for a medical necessity reason. Please contact the pre-certification number listed on your insurance card to initiate this process or follow the instructions on your certification notice. You are encouraged to send complete information and medical records regarding the noncertified period. All information received will be reviewed and a determination will be made. A written notification of the decision will be sent to the patient, providers, and insurance company.
