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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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• H3664 PTHP CY 2024 LIS Premium Summary

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• 2.1.2024 PA Criteria for Website UHMAP

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• Provider Directory Icon

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• How to Appoint a Representative

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• AultCare PrimeTime 5T PA Criteria V7 EFF 010124

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• H3664 CY2023APP

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• UHMAP Molecular Diagnostic Request

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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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• 6.1.2024 PA Criteria for Website UHMAP

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