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• Tier 1 for 2024

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• 2023

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• PTHP NPP for 2022 Website 1

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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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• 2019 Commercial HMO HEDIS results graphs for web

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• 12.1.2023 Comprehensive for Website

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• 1.1.2025 PA Criteria for Website v9

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• Medicare Prescription Drug Coverage Determination Form

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• Chantix Pfizer for Website

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• Monika and Ray natural round

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