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Home
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Current Member Webinars
Attending a virtual Medicare Advantage event is a great way for you to learn more about PrimeTime Health Plan, ask questions and/or, enroll in a plan with a licensed agent. Select a date and time from the list below to attend a live webinar from your home. Once registered, you will…
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Provider Appeals
Payment Appeal – A challenge or an ‘appeal’ related to benefit/payment denials by the Medicare health plan that results in zero payment being made to the non-contracted Medicare health plan provider. Examples include: Benefit Determinations Medical necessity issues Coverage issues related to nation and/or local coverage determination policies Claims Payment Dispute – Any decision…
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Provider Update Information Form
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Health-and-Wellness
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Prescription Drug Coverage Determinations Grievances or Appeals Information
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2.1.2024 Comprehensive for Website
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6.1.2023 ST Criteria for Website
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