Prednisone is a synthetic corticosteroid drug that is particularly effective as an immunosuppressant drug. It is used to treat certain inflammatory diseases (such as moderate allergic reactions), some autoimmune diseases, and (at higher doses) some types of cancer, but it has significant adverse effects.
denial of claim. DEFINITION: Denial of claim is the refusal of an insurance company or carrier to honor a request by an individual (or his or her provider) to pay for health care services obtained from a health care professional.
Denied Claims Management. 1  Denied Claims Management Overview. 2  Additional Development Request (ADR) 3  Administrative Law Judge (ALJ) 4  Medicare Appeals Council. 5  On-Site Medical Record Reviews. 6  Redetermination/Reconsideration. 7  Remote Medical Record Reviews.