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6.1.2024 ST Criteria for Website PTHP
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7.1.2023 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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PrimeTime Code of Business Conduct and Ethics
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H3664 CovDeterm3 C
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2024 PTHP Basic MA Only Annual Notice of Change
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Medical Determinations Grievances or Appeals Information
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5.17.2023 Akorn Products
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