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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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• Metformin ER Drug Recall Medicare Prescription Drug Coverage

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• Medical Determinations Grievances or Appeals Information

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• 2023 PTHP Pharmacy Directory

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• 7652 22 History of AultCare

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• AultCare PrimeTime 5T PA Criteria V7 EFF UHMAP 010124

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• learn

  Are you ready to learn more about Medicare? PrimeTime Health Plan offers Medicare Education webinars you can attend from the comfort of your home! Live Webinars: Select a date and time from the list below to attend a live webinar from your home. Once registered, you will receive an email with detailed information…

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• 2023-13

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