Question
When your insurer denies your treatment as “investigational” or “experimental”, do you have to provide additional forms for an external review?
Yes Answer
Correct!
There is a separate form in the external review paperwork that your physician needs to complete to verify that your denied claim is medically necessary and not experimental or investigational.
No Answer
Incorrect!
There is a separate form in the external review paperwork that your physician needs to complete to verify that your denied claim is medically necessary and not experimental or investigational.
