Your locally owned Medicare Advantage plan

• Home

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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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• Broker Resources

  Broker Training and Information   Miramar Training   How to sign-up for the Broker Portal for Commissions Have tax ID number ready. Select “brokers” as membership type. Complete the registration. Upon completion, an email will be sent letting you know the account is ready for use. You will see the member’s name, effective date, premium, and commission amounts. AOR’s…

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• PrimeTime Health Plan Pre Authorization and Referral Form

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• Donna Knitting

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• 2024 Star Rating icon 3 years in a row

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• Multi language Interpreter Services

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• 2.1.2024 Comprehensive for Website UHMAP

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• 6.1.2023 Comprehensive for Website

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