Appeal Process for Denied Claims. 19 1. All Providers may appeal to ADMINISTRATOR’s Medical Director only those claims 20 denied by CONTRACTOR for which the service claimed was determined to be outside the scope of 21 reimbursable services. Such appeal shall be made, in writing, to ADMINISTRATOR’s Medical
Appeal Process for Denied Claims. 4 1. INTERMEDIARY shall notify, in writing, All Providers and their respective MSI Patients 5 of the reason for any denial of a claim(s).
