Greeting/Salutation - Hi Analyst,, Introduction - I disagree with the determination., Main Idea 1 - We met one of the exception criteria per the Notification Authorization Penalty Processing according to your policy., Main Idea 2 - The member had an emergent procedure completed in conjunction with an emergency room or emergent admission so it should not be denied., Main Idea 3 - You should review claim history for an R&B claim with ER revenue code within the date range., Closing Remark - I'm hoping for this to get resolved. I appreciate your help in advance., Farewell - Take care,, Signature - Dr. Lee,

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