Denial Decoded
How to read a denial letter and an EOB the way a biller reads it: what was denied, by whom, under which rule, and what that leaves you owing.
- Denial Decoded Find the Criteria Behind a 'Not Medically Necessary' Denial Your denial cited a policy number and did not enclose the document. Where that file lives, the rule that compels a copy, and how to read it against the record.
- Denial Decoded CARC and RARC: What the Codes on Your EOB Actually Mean Your EOB says PR-96 and N130 and not much else. Which list each code comes from, what it can and cannot prove about your bill, and how to look it up.
- Denial Decoded How to Read a Health Insurance Denial Letter, Back to Front The denial code, the plan provision it cites, and the date your appeal clock actually starts all sit in the back half of the letter, in the small type.