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“Most ‘detox or cleanse’ claims are not supported by strong human research.” With a lack of research to conclude one way or another, some may classify skin issues that emerge amid a detox as a sign that the diet is working to rid the body of harmful substances

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Claims reviewers frequently compare: Diagnosis code Medication administered HCPCS drug code Route of administration Units billed Supporting clinical documentation  When these elements do not align, the claim is more likely to be denied or selected for manual review