Denial reason group 1

Your insurance company has denied your claim for the following reasons:

• Not medically necessary
• Multiple physician assistants
• Service deemed experimental/investigational or not proven to be effective
• Noncovered services or diagnosis code

Steps you should follow to appeal insurance denials:

• Log on to your account at Mayo Clinic patient online Services.
  • Select the Medical Record and Results menu.
  • Print the required medical records pertaining to the denied charge.
  • Print the supporting doctor's notes prior to and after the procedure, indicating why the denied service was ordered and what the results were.
  • Make copies of all documentation for your records.
  • Complete and print the appeal form (PDF) and send via certified mail to your insurance company with the above supporting documentation and a copy of your explanation of benefits (EOB) listing the denied charge.
  • If denied as not medically necessary and your appeal resulted in a second denial, contact Patient account service for clarification.
    • Log on to your account at Mayo Clinic patient online Services
      • Select Messages & Letters
      • Select Billing & Insurance Questions
    • Alternatively, call 1-844-217-9591 (toll free)