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MEDICARE ADVANTAGE PLAN NON-CONTRACTED PROVIDER PAYMENT APPEAL PROCESS You have the right to appeal the denial of payment made by the health plan by initiating the Medicare Managed Care Beneficiary
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Non-contracted provider payment appeal is a process where a healthcare provider disputes the payment amount received for services provided to a patient.
Any healthcare provider who did not have a contract with the payer for the services provided.
The appeal process usually involves submitting a formal written request to the payer, providing supporting documentation and explaining why the payment amount is being disputed.
The purpose of the appeal is to request a review of the payment amount and potentially receive a higher reimbursement for the services provided.
The appeal should include details about the patient, the services provided, the payment received, and any supporting documentation such as medical records or invoices.
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