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Due to the high cost of these medications, many insurance plans impose strict qualification criteria, which can vary depending on the specific plan,” said Eldad Einav, MD , board-certified cardiologist and obesity medicine specialist at Drugwatch. If additional documentation is needed, it can be submitted at this stage.”
Coding errors will most likely lead to n claim denials and delayed payments if medical necessity is not correctly represented or coding guidelines and best practices were not followed. THYNK assists in patient eligibility & pre-approval checks adding to it medical necessity & documentation checks.
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