Transcription of Deciding whether to appeal a clinical editing denial
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Deciding whether to appeal a clinical editing denial
1 Appealing a clinical editing denial For Medicare Plus BlueSM PPO (for contracted providers only) Revised: May 2020 IMPORTANT: These instructions are only for contracted providers. Providers not contracted with Medicare Plus Blue must submit appeals of clinical editing denials through the Medicare Plus Blue Grievance and Appeals department at: Blue Cross Blue Shield of Michigan Medicare Plus Blue Grievance and Appeals Department Box 2627 Detroit, MI 48231-2627 Fax: 1-877-348-2251 Deciding whether to appeal a clinical editing denial When you re Deciding whether to appeal a clinical editing denial , here s what you should know: There s only one level of appeal . If you submit the appeal late or with incomplete information, you will not have another opportunity to appeal .
1 Appealing a clinical editing denial For Blue Cross Medicare Plus BlueSM PPO December 2017 Deciding whether to appeal a clinical editing denial When you’re deciding whether to appeal a clinical editing denial, here’s what you should know: • There’s only one level of appeal.
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