Status: Denied
Billed: $1,200.00
Approved: $0.00
Denial Reason: Service not eligible under tobacco attestation failure
Level 1 - Initial Review
Pending Review- Filed
- Apr 7, 2026
- Requested Amount
- $950.00
Reason for Appeal
Member disputes tobacco attestation. Claims they quit 6 months ago and have documentation from PCP.
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