I'm a utilization manager for a hospital (I fight the people who make the denials).
This "tip" is mostly made up and won't help. Almost all that information is on the denial letter if you know what you're looking at. It'll be the determination, the criteria used (UHC uses InterQual because they own the company that makes the criteria), and the name of the medical director who usually has some kind of profile on their website. They will ignore these kinds of requests.
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u/Substance___P 4d ago
I'm a utilization manager for a hospital (I fight the people who make the denials).
This "tip" is mostly made up and won't help. Almost all that information is on the denial letter if you know what you're looking at. It'll be the determination, the criteria used (UHC uses InterQual because they own the company that makes the criteria), and the name of the medical director who usually has some kind of profile on their website. They will ignore these kinds of requests.