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Behind-the-Scenes Audits Often Hide Cause of Test Claim Denials

EDITOR’S NOTE: Our column, Virchow, is written by anonymous insiders work­ing within the managed care world. The column aims to help clients of THE DARK REPORT better understand the decisions, policies, and actions of payers as they man­ age their laboratory networks, establish coverage guidelines, process lab test claims, and audit labs. PRIVATE PAYER AUDITS …

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