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NonPAR Provider Appeals Form If you are a nonPAR (not contracted) Provider with Aetna Better Health of Ohio, either directly or through its subcontracted networks, you have the right to appeal the

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What is non-par provider appeals form?

The non-par provider appeals form is a form used by healthcare providers who are not participating in a particular insurance plan to appeal a denial of coverage or reimbursement.

Who is required to file non-par provider appeals form?

Non-participating healthcare providers who have had a claim denied by an insurance plan are required to file the non-par provider appeals form.

How to fill out non-par provider appeals form?

To fill out the non-par provider appeals form, providers must provide their contact information, patient information, details of the denial, and any supporting documentation.

What is the purpose of non-par provider appeals form?

The purpose of the non-par provider appeals form is to allow non-participating providers to request a review of a denied claim by the insurance plan.

What information must be reported on non-par provider appeals form?

Providers must report their contact information, patient information, details of the denial, and any supporting documentation on the non-par provider appeals form.

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