What action should be taken if an insurance company's approval limits the number of visits?

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When an insurance company's approval specifies a limit on the number of visits, the appropriate course of action is to update the referral accordingly. Adjusting the referral ensures that it aligns with the insurance guidelines and the patient's coverage, which is essential for facilitating authorized care. This action keeps the process compliant with the insurance company's requirements and prevents any potential issues with billing or reimbursement later on.

Updating the referral also serves to inform all parties involved, including healthcare providers and patients, about the constraints imposed by the insurance plan. This transparency helps in managing expectations and planning the patient’s care effectively within the limits provided. By modifying the referral, it can indicate the number of visits covered, which allows for better scheduling and resource allocation.

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