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Category: Medical Necessity

Category: Medical Necessity

Home Archive for category "Medical Necessity"

:: HealthNet’s Benefit Denial Based Upon Lack Of Medical Necessity Rejected

Roy Harmon Medical Necessity / Provider Reimbursement / Welfare Benefit Plans March 9, 2021 March 9, 2021

he district court concluded that a remand was futile because the Wieners did not show that Jonathan was eligible for GHT under the standards described in IPRO’s decision, which the parties call “the FDA standard.” …

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