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.
As a result, a claim submitted for payment of a test on a local or national list without a specific diagnosis code (ICD-9) that indicates medical necessity based upon the local or national policies will result in denial of payment for these services.