Clinical Denials

A frequent basis for denial or underpayment of claims is the absence of adequate authorization.

Our firm takes a unique approach to prior authorization denials by substantiating the medical necessity of the services provided. Conversely, we will convincingly demonstrate that obtaining authorization at the time services were rendered was either impossible or futile.

Abril Law relies on a network of clinicians, including physicians, physician’s assistants, registered nurses, and other medical experts, to substantiate the medical necessity of the treatment provided, and successfully use that information to overturn whatever clinical denial you may be facing.