Medical Review Frequently Asked Questions (FAQs)

Q1. How can I appeal a claim that was denied during medical review or denied with code 56900 for no documentation sent within 45 days?
A1. To appeal claims for both scenarios, follow the Redetermination process.

Q2. Does Noridian have any sleep medicine resources providers can refer to?
A2. Yes. See the Sleep Medicine webpage for access to related resources.

 

Last Updated Sep 17, 2019