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Connect Your MedicareElite Rehab Services
Financial Breakdown
Coverage Details
This service was not covered by your insurance plan. This could be due to the service not being covered under your plan benefits, requiring prior authorization, or being considered not medically necessary.
Cost Breakdown
Coverage Insights
- Claim denied due to lack of medical necessity documentation
- Provider failed to submit required plan of care
💡 These insights are derived from Medicare's adjudication data to help explain your coverage details.
AI Summary
Physical therapy session denied due to missing medical necessity documentation. The provider failed to submit the required plan of care. Appeal recommended.
Risk Flags
Insights
- •Call Elite Rehab Services billing department immediately.
- •Ask them to submit the "Plan of Care" certification to Medicare.
- •Do not pay this bill until the provider has attempted to correct the claim.
- •If the provider refuses, file a Medicare appeal.
- •{"title":"Medicare Coverage for Physical Therapy","url":"https://www.medicare.gov/coverage/physical-therapy"}
- •{"title":"How to File a Claim Appeal","url":"https://www.medicare.gov/claims-appeals/how-do-i-file-an-appeal"}
Tags
Low back pain
Low back pain. Pain in the lower back region.
Present on admission: No
Therapeutic exercises
Therapeutic exercises
Therapeutic exercises to develop strength and endurance, range of motion and flexibility.
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