Example: dental hygienist

And Determination

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HHS PPDR Selected Dispute Resolution Entities

HHS PPDR Selected Dispute Resolution Entities

www.cms.gov

be used for payment determination if the total billed charges (by the convening provider, convening facility, or co-provider or co-facility listed in the good faith estimate), are substantially in excess of the total expected charges for that specific provider or facility listed on the good faith estimate, as required under 45 CFR 149.610.

  Determination

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