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Who notifies the participant when a non-certification (denial) is issued or a continued stay is no longer medically necessary?

April 26, 2017continued denial issued longer medically necessary non-certification notifies participant stay

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Who notifies the participant when a non-certification (denial) is issued or a continued stay is no longer medically necessary?

1 Answer

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HSI does not provide notification of denial to the HFS health plan participant. The hospital or the physician may notify the patient in accordance with its policies and procedures.