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• S950 104M PTHP Prospective Member Flie 638586235849508397 2FINAL

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• 4.1.2025 ST Criteria for Website

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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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• 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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• 2025 OTC Healthy Benefits Flyer

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• Interoperability

  Currently available to PrimeTime Health Plan Medicare Advantage Members and AultCare Marketplace Members. You may find a mobile app or computer program that requests access to your health information to help you monitor your personal health goals. As your health plan, we need to provide a way for you to…

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• 2.1.2025 Comprehensive for Website

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• National Resources

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• 2025 Individual Plans Evidence of Coverage

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• 4.1.2025 PA Criteria for Website

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