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Attorney-drafted appeal letter designed to fight your denied health insurance claim. Use this legal template to file an internal appeal if the insurance company refuses to pay your claim denied with Code CO-167 — Diagnosis/Procedure Mismatch. This template works for all types of mismatch scenarios, including: Wrong diagnosis code submitted; Diagnosis too vague or non-specific; Correct diagnosis but insurer claims it doesn’t support the procedure; Incorrect or outdated CPT code billed; Wrong modifier or missing modifier; Coding conflicts due to NCCI edits; Insurer relying on outdated coverage tables; Missing or incomplete medical documentation; Insurer error, system error, or automated coding rejection.
This attorney-drafted appeal letter is for claims denied with Code CO-167 — Diagnosis/Procedure Mismatch. Use this attorney-drafted template to file an appeal when your provider was out-of-network. Easy to customize and send.
Attorney-drafted appeal letter designed to fight your denied health insurance claim. Use this legal template to file an internal appeal if the insurance company refuses to pay your claim denied with Code CO-167 — Diagnosis/Procedure Mismatch. This template works for all types of mismatch scenarios, including: Wrong diagnosis code submitted; Diagnosis too vague or non-specific; Correct diagnosis but insurer claims it doesn’t support the procedure; Incorrect or outdated CPT code billed; Wrong modifier or missing modifier; Coding conflicts due to NCCI edits; Insurer relying on outdated coverage tables; Missing or incomplete medical documentation; Insurer error, system error, or automated coding rejection.
This attorney-drafted appeal letter is for claims denied with Code CO-167 — Diagnosis/Procedure Mismatch. Use this attorney-drafted template to file an appeal when your provider was out-of-network. Easy to customize and send.