Search Results

You searched for "what is cms compass program certificate?"

• Non-Contracted Provider Payment Appeals and Claim Disputes

  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…

  Read more about "Non-Contracted Provider Payment Appeals and Claim Disputes"...

• 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…

  Read more about "Provider Appeals"...

• 2024 UHMAP by PTHP 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…

  Read more about "2024 UHMAP by PTHP Provider Appeals"...

• Compliance Program

  Read more about "Compliance Program"...

• CC PHM Program Availability Notification rev for 2022

  Read more about "CC PHM Program Availability Notification rev for 2022"...

• AultWell Information

  Read more about "AultWell Information"...

• Flu Vaccination Information

  Read more about "Flu Vaccination Information"...

• Health & Wellness

  Read more about "Health & Wellness"...

• Careers

  PrimeTime Health Plan is a highly service-oriented insurance company.Are you an ambitious self-starter who wants a career with a top-ranked insurance company? If so, then AultCare is for you. Our average length of staff employment is more than ten years, which demonstrates the strong relationships we develop within the organization. With…

  Read more about "Careers"...

• News

  PrimeTime Health Plan is a highly service-oriented insurance company.Are you an ambitious self-starter who wants a career with a top-ranked insurance company? If so, then AultCare is for you. Our average length of staff employment is more than ten years, which demonstrates the strong relationships we develop within the organization. With…

  Read more about "News"...