Medical Insurance Appeal Specialist Needed for Cigna Claim Denial

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I'm seeking an experienced medical billing specialist or insurance appeal expert to handle an appeal for a denied health insurance claim from Cigna Healthcare. The denied claim involves an implant/insert device (code C1889) for an outpatient hospital procedure. Project Details • Cigna has denied coverage citing "unlisted code" issues without proper description • The denial letter is dated March 17, 2025, regarding services from December 13, 2024 • Need someone to prepare and submit a complete appeal within the 180-day appeal window • The appeal should include proper medical coding and necessary supporting documentation Required Skills & Experience • Proven experience handling medical insurance appeals, particularly with Cigna • Strong knowledge of medical coding, especially regarding implantable devices • Understanding of HCPCS codes and how to properly document "unlisted code" items • Experience communicating with healthcare providers to obtain necessary documentation • Familiarity with medical necessity documentation requirements • Track record of successful appeals for similar situations Deliverables • Initial review of denial letter and assessment of appeal strategy • Communication with my healthcare provider to obtain required documentation • Preparation of complete appeal documentation including proper coding information • Submission of appeal to Cigna via appropriate channels • Follow-up communication with Cigna as needed • Regular updates on appeal status Timeline Need work to begin immediately to ensure the appeal is filed well within the 180-day window. Budget Please provide your proposed fee structure - hourly rate or fixed price for the entire appeal process. Additional Information I will provide the complete denial letter and authorize you to communicate with my healthcare provider as my representative. I'm seeking someone who can take ownership of this process and handle all aspects of the appeal with minimal supervision.

Price: $20.0

Medical Billing & Coding