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October 2014

Reminder: Hospitals must follow claims appeals process in provider manual

The hospital claims appeal process has been updated in the online hospital manuals, including the BlueCard® chapter. If you’ve contracted with a third-party vendor to handle appeals on your behalf, be sure they know that they must follow the process documented in our online manuals.

If you have any questions, please contact your provider consultant.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2013 American Medical Association. All rights reserved.