I need help...
Patient had a total knee replacement in July 2011 and on October 21, 2011 patient went in for manipulation of knee (27570 78) dx 718.46
United Healthcare paid the claim then came back and now asking for a refund stating: Based on the information provided, this service is unproven for the diagnosis billed and is not covered. No benefits are payable for this expense for this service To be considered for coverage, scientific evidence must be submitted that meets the standards described in your benefit plan language that demonstrates the safety and effectiveness of this service for your particular condition.
Thank You for your time,
Center For Orthopaedic Surgery and Sports Medicine