Sean Walters

Strategy

Read our latest strategy posts.

A professional strategist's hands organizing a "Topical Authority Appeal" file on a wooden desk, placed next to medical claim documents stamped "Claim Denied" and "Not Medically Necessary."

Beat the CO-197 Denial: The Pre-certification Trap

Did your insurance deny a claim for missing pre-certification? Learn how to use the CO-197 code to fix the error and get your medical bill paid.

A strategic close-up of a medical bill with a magnifying glass focusing on the "CO-197" denial code, surrounded by paperwork stamped "Claim Denied" and "Not Medically Necessary."

How to Read Insurance Denial Codes | Claim Strategy

Don't let confusing insurance codes stop your appeal. Learn how to decode your denial and find the strategy you need to get paid.

A professional strategist's hands placing a thick document titled "Topical Authority Appeal" on a desk next to several "Claim Denied" and "Not Medically Necessary" stamped papers.

How to Win a "Not Medically Necessary" Insurance Appeal

Learn why insurance companies use the medical necessity trap to deny your claims and how to use their own rules to get your medical bills paid.