By: Emily Blizzard, Esq., Associate Attorney, The Law Offices of Fotheringill & Wade, LLC Issue: A Maryland hospital cancelled a request for authorization due to the belief that authorization was not required from the secondary payer. Subsequently, it was learned that the insurance company was actually the primary payer for most of the charges, causing denial of the submitted claim. Relevant facts: The patient was a victim of a crime and required medical attention. When she arrived at the hospital, the hospital notified her insurance and began concurrent review. Given that the patient’s hospitalization stemmed from a crime, the facility was under the impression that the patient’s care would be […]
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