MedicalMediblue Current Process
A Flowchart by vgrass01
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Mediblue Current Process used and how it affects appeals and denials

Clinical faxed to Manila, Phillipines
*Faxing Delays *Failed Faxes

Manila establishes case in system and scans initial clinical to acute team

Acute team review

Denial for lack of medical necessity
Site of service denial
Approved *Documentation supported medical necessity *On CNS inpatient list

Additional clinical faxed or called in to acute team

Additional information not considered due to appeal initiation or communication breakdown