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…

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• 2024-UHMAP

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• Access to UM Staff Appropriate UM Decision Making 2021

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• Affordable PrimeTime Health Insurance Plans Classic

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• Personal Medical List

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• H3664 CovDeterm3 C

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• H3664 SR2023 M 508 version

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• UH Hospital MAP by PTHP Logo hero

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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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• 5.1.2024 Comprehensive for Website PTHP

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