Nevada
Provider Communications
Clinical appeals
Clinical appeals refer to a situation in which an authorization or claim for a service was denied as not medically necessary or experimental/investigational. Medical necessity and prior authorization appeals are different than claim payment disputes and should be submitted in accordance with the clinical appeal process.
To learn more about our appeals process in detail, we encourage you to go to the Anthem provider manual, available on our website at anthem.com/provider.
Featured In:
October 2021 Anthem Provider News - Nevada