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Categories

Diagnosis

Treatment(s)

Health Plan(s)

Appeal Decision

  • Overturned (16982)
  • Overturned in Part (724)
  • Upheld (21388)

Appeal Type

  • Experimental/Investigational (1505)
  • Formulary Exception (1940)
  • Medical necessity (35590)
  • Out-of-Network Service (5)
  • Step Therapy (54)

Coverage Type

Gender(s)

Age Range(s)

Decision Year(s)

Appeal Agent(s)

  • Acentra Health/Kepro (3522)
  • IMEDECS (5275)
  • IPRO (13941)
  • Kepro dba IMEDECS (6509)
  • MCMC, LLC (9844)
  • MCMC Services, L.L.C. (3)

Case Number