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April 16, 2024

Authorization Activity Tab - the second puzzle piece that you should view to provide an accurate status after an authorization has been entered. It also displays equally important to help you create the best puzzle of explanations to the member. Knowing where to find authorization-related information helps to provide members with updates in as simple and understandable manner.

  1. Authorization Denied

  2. Due to Not Normal Wear and Tear

  3. Because the diagnosis is there's a suspension rods broken due to tub being overloaded causing the washer to not spin.

  4. The Suspension Rods NCC amounting $218.75

  5. Yes because upon checking on the denial

  6. Electric

  7. Authorization Denied

  8. Pet or Pest Damage is not covered

  9. Authorization Covered

  10. Boiler tank is leaking due to corrosion inside and is not repairable

  11. Yes amounting $5,210.00 because replace boiler NCC

  12. There are out of pocket expenses because replace boiler unit over the contract limit per section E noncovered cost $5210.00

  13. Authorization Denied

  14. Due to Not Normal Wear and Tear (Age)

  15. $1,580.00

  16. Yes, the member was notified.