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Claim Review Data Section

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Enter claim review information.

myAvatar MSO > Claims Processing > Claim Appeal

  1. In the Review Date field, enter the date the review was conducted.

  2. In the Committee decision field, select Approved to reverse the original denial. Choose Denied if reversal is unwarranted.

  3. In the Action field, Select Administrative Certification, File, or Secondary Review.

  4. In the Review Notes field,

  5. Click View / Print Claim Appeal Documentation to generate the Claim Appeal and Status Letter.

  • This letter contains all information entered in this form.