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MAXIMUS FEDERAL SERVICES, INC. Independent Bill Review P.O. Box 138006 Sacramento, CA 958138006 Fax: (916) 6054280 Independent Bill Review Final Determination Upheld 9/30/2014IBR Case Number: Claim

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What is disputed codes?

Disputed codes are codes used to identify items or services from healthcare providers that are under dispute between the provider and the payer.

Who is required to file disputed codes?

Healthcare providers are required to file disputed codes when there is a disagreement between the provider and the payer regarding the reimbursement for services or items provided.

How to fill out disputed codes?

Disputed codes can be filled out by providing a detailed explanation of the disagreement, supporting documentation, and any other relevant information to help resolve the issue.

What is the purpose of disputed codes?

The purpose of disputed codes is to help healthcare providers and payers resolve disagreements regarding reimbursement for services or items provided, ensuring fair and accurate payments.

What information must be reported on disputed codes?

Information that must be reported on disputed codes includes the reason for the dispute, relevant documentation, dates of service, codes in question, and any communication between the provider and payer regarding the dispute.

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