Why Your Behavioral Health Claims Keep Getting Denied (And the Pattern Payers Won’t Tell You About)
Behavioral health payers in 2026 are denying clean claims using utilization management algorithms, not clinical review. This article breaks down the difference between a medical necessity denial and a pattern flag, explains why telehealth POS mismatches are creating compounding denial chains, and shows how MHPAEA parity law belongs in your appeal strategy.