Martin%27s Point Health Care Appeals
Listing Websites about Martin%27s Point Health Care Appeals
Member Grievances and Appeals - Martin's Point
(4 days ago) WEBProviders may also file a grievance or appeal on behalf of a current or former member by obtaining authorization from the member. Martin's Point Health Care P.O. Box 9746 …
https://martinspoint.org/for-providers/provider-manual/member-grievances-and-appeals
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Prior Authorizations and Appeals
(7 days ago) WEBMartin's Point US Family Health Plan Attn: Appeals Specialist PO Box8832 Portland, ME 04104. Appeals can be faxed to: 1-888-851-1469. For any help or queries, call either:
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Martin’s Point - Forms & Documents for Providers
(8 days ago) WEBTo find a Martin's Point Health Care form or document, search by document name or filter by type. Find Forms & Documents. Search by Document Name or Keyword. Search The …
https://martinspoint.org/for-providers/forms-and-documents
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For Providers - Contact Us - Martin's Point
(5 days ago) WEBMartin’s Point Health Care Attn: Utilization Review-Health Management PO Box 9746 Portland, ME 04104-5040. Care Management Programs. Chronic Care; Transitions of …
https://martinspoint.org/for-providers/provider-manual/contact-us
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Provider Manual Claims - Martin's Point
(1 days ago) WEBMartin's Point Health Care has programs in place to make post-payment audits of provider claims. These post-payment reviews are conducted in a manner consistent with professional audit guidelines. Martin's Point maintains policies related to these audits which are available by contacting the Network Management Department at 1-800-348 …
https://martinspoint.org/for-providers/provider-manual/claims
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Office of Public Affairs Martin’s Point Health Care Inc. to …
(Just Now) WEBMartin’s Point Health Care Inc. (Martin’s Point), headquartered in Portland, Maine, has agreed to pay $22,485,000 to resolve allegations that it violated the False Claims Act by …
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For Providers - Martin's Point Health Care
(8 days ago) WEBMartin’s Point Health Care will now manage ALL prior auths (including radiation treatments) for out-of-network providers or facilities. Please use the TruCare ProAuth™ portal to submit out-of-network requests. For questions regarding provider network status, call Martin's Point Provider Inquiry 1-888-732-7364.
https://martinspoint.org/for-providers
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Whistleblower lawsuit alleges Martin's Point Health Care …
(3 days ago) WEBThe U.S. Justice Department has joined a whistleblower lawsuit against Martin's Point Health Care and five other health plans across the U.S. for allegedly defrauding the …
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Martin's Point Health Care Center Patient Resources
(1 days ago) WEBHAVE YOUR RECORDS SENT TO ANOTHER PROVIDER FROM MARTIN'S POINT. Form: Authorization to Release Protected Health Information (PDF) E-mail: [email …
https://martinspoint.org/for-members-and-patients/for-health-care-center-patients/resources
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Contact Us - Martin's Point
(5 days ago) WEBPhone, fax, and physical address information for all of the Martin's Point health care centers can be found below, including our Biddeford, Brunswick, Gorham, Portland, …
https://martinspoint.org/contact-us
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Martin’s Point to Pay $22.48 Million – Petruccelli, Martin
(7 days ago) WEBJuly 31, 2023. Washington, DC, July 31, 2023—Martin’s Point Health Care Inc., a provider of healthcare in Maine and New Hampshire, agreed to pay $22.48 million to resolve …
https://pmhlegal.com/2023/08/08/martins-point-to-pay-22-48-million/
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Martin's Point Health Care to pay $22.4 million over allegations of
(3 days ago) WEBPortland-based Martin's Point Health Care has agreed to pay more than $22 million to settle civil fraud allegations involving its Medicare Advantage claims. Under the terms of …
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Martin's Point to pay millions to resolve false claim allegations
(2 days ago) WEBWASHINGTON — Martin's Point Health Care Inc. agreed Monday to pay $22,485,000 in order to resolve allegations that it violated the False Claims Act between 2016 and 2019. …
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Martin's Point Health Care - High Quality Local Care and Coverage
(7 days ago) WEBCall a Martin’s Point Health Care Center or talk to one of our health plan specialists today. Contact Us The Suicide & Crisis Lifeline: If you or a loved one is ever experiencing a …
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Martin's Point Health Care Risk Adjustment Settlement - Yahoo …
(6 days ago) WEBToday, Martin's Point Health Care announced that it has agreed to a settlement with the U.S. Department of Justice (DOJ) to resolve an investigation related to Martin's Point's …
https://finance.yahoo.com/news/martins-point-health-care-risk-191900165.html
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Martin’s Point – Yet Another Cautionary Tale For Providers and …
(Just Now) WEBThe settlement agreement also included Martin’s Point Health Care, Inc.’s subsidiary, Martin’s Point Generations Advantage, Inc. (both entities, collectively, “Martin’s Point”). Per its terms, the Settlement Agreement was “neither an admission of liability by Martin’s Point nor a concession by the United States that its claims
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Drug and Vaccine Coverage
(Just Now) WEBTier exceptions can be made in certain situations. To request a tier exception (tiers 1-3 only), please call the Martin’s Point Mail-Order Pharmacy at 1-800-322-0280(EXT. …
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Martin's Point Health Care MaineHealth
(2 days ago) WEBMartin's Point Health Care. 331 Veranda St. Portland, ME 04104. Maps and Directions. Phone: 207-828-2402. Fax: 207-828-2425.
https://www.mainehealth.org/locations/martins-point-health-care-portland
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Explore Military Benefits - Martin's Point Health Care
(Just Now) WEBmartin's point military health plan earns 5 stars for patient experience The National Committee on Quality Assurance (NCQA) has awarded Martin’s Point Health Care an …
https://martinspoint.org/explore-military-benefits
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Coverage Decisions, Appeals and Grievances Aetna Medicare
(5 days ago) WEBYour doctor can request coverage on your behalf. Your doctor can call us at 1-800-414-2386 ${tty}, 7 days a week, 24 hours a day, to request drug coverage. Or your doctor …
https://www.aetna.com/medicare/contact-us/appeals-grievances.html
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How and When to File an Appeal Georgia CareSource
(3 days ago) WEBWhat is an Appeal? An appeal is not the same as a complaint or grievance. If you do not agree with a decision or action made by us about your medical care, you have the right …
https://www.caresource.com/ga/members/tools-resources/grievance-appeal/file-appeal/
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