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D. board certified in Orthopedic Surgery Custom medial unloading brace for right knee. REVIEW OUTCOME Upon independent review the reviewer finds that the previous adverse determination/adverse determinations should be P rim ary Diagnosis Code X Upheld Agree Overturned Disagree Partially Overturned Agree in part/Disagree in part Service Being Denied Billing M odifier Type of R eview P rosp Units Date s of Am ount Billed Injury DW C Claim INFORMATION PROVIDED TO THE IRO FOR REVIEW 1. The...
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Date notice sent to is the date on which a notice or communication is sent to a specific recipient.
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Date notice sent to is typically filled out by including the specific date on which the notice was sent, along with any relevant details.
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The purpose of date notice sent to is to inform the recipient of important information or updates.
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The information reported on date notice sent to may vary depending on the nature of the notice, but typically includes the date sent and relevant details.
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