OUR SERVICES

We offer a number of different service levels. Review our site and pick the one that's right for your circumstances:

Services:
 Pre-authoirization and Utilization Review with DMI’s Licensed Clinicians
 Verification of Benefits
 Insurance Policy Reviews
 Medical Billing – Facility and Individual
 Provider Claims
 Insurance Claim Follow Up
 Administrative Appeals
 Preparation for Litigation
 Consulting
*Please contact our office for details on our payment and rate structures.
Types of Insurance Claims and Denials DMI has experience working with:
 Medical
 Mental Health and Substance Abuse
 Dental
 Pharmacy
 Workers Compensation
 Life Insurance
 Vision*

You have the right to obtain a full, fair and thorough review. You have the right to obtain expert claim representation and assistance throughout all levels of the administrative appeal process. You have the right to make and file insurance department complaints on claims that are stalled. You have the right to request independent medical reviews for several denial reasons.

Medical Necessity
Not Covered
Pre-existing Condition
Timely Filing
Workers Compensation
COBRA
Coding Problem
Continuation
Conversion
Cosmetic Surgery
Dental
Discount Errors
DRG Payment Error

 

Dual Diagnosis
Duplicate Service
Eligibility
Emergency Room
Experimental
Extension of Benefits
Information Needed
HIPAA
Maximum Benefit
Multiple Procedures
No PCP referral
Non-Participating Provider
Not Processed

 

Out of Area
Pre-Cert Penalty
Pre-Cert/Pre-Auth
Processing Error
Prompt Payment Error
Provider Definition
Reasonable & Customary
Recission
Silent PPO
STD/LTD
Termination
Third Party Lien
Verification Misquote

 

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