File INSURANCE_REVIEW(356.2) Data List

REVIEW DATE	TRACKING ID	RELATED REVIEW	TYPE OF CONTACT	PATIENT	PERSON CONTACTED	CONTACT PHONE #	INSURANCE COMPANY CONTACTED	*CALL REFERENCE NUMBER	APPEAL STATUS	ACTION	CARE AUTHORIZED FROM	CARE AUTHORIZED TO	DIAGNOSIS AUTHORIZED	DATES OF DENIAL FROM	DATES OF DENIAL TO	METHOD OF CONTACT	PARENT REVIEW	REVIEW STATUS	CASE PENDING	NO COVERAGE	FOLLOW-UP WITH APPEAL	TYPE OF APPEAL	NEXT REVIEW DATE	NUMBER OF DAYS PENDING APPEAL	OUTPATIENT TREATMENT	TREATMENT AUTHORIZED	*AUTHORIZATION NUMBER	FINAL OUTCOME OF APPEAL	DATE ENTERED	ENTERED BY	DATE LAST EDITED	LAST EDITED BY	HEALTH INSURANCE POLICY	DENY ENTIRE ADMISSION	AUTHORIZE ENTIRE ADMISSION	COMMENTS	REASONS FOR DENIAL	PENALTY	APPROVE ON APPEAL FROM	CALL REFERENCE NUMBER	AUTHORIZATION NUMBER