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Managed Care DenialFrom: Zach Newton (zbnewton@atl.mindspring.com)Fri Jan 31 20:47:10 1997
Recently, denials for benefits covering services of surgical assistants in c/s's, LAVH and laparoscopic surgery have been issued on claims submitted to Blue Choice of Georgia, a HMO. The basis of the denials is the claim by Blue Choice that their consultants, Millikin & Roberson, have issued the opinion that surgical assistance is not required for these procedures. This is nuclear meltdown. Experience with denial of benefits for surgical assistance in these procedures in other locales is solicited. Frontal assault is in assembly stage. -- Zach Newton Z.B. Newton, III, M.D.
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