Bridgespan Health Pricing Dispute

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Pricing disputes & appeals - BridgeSpan Health

(2 days ago) WebPricing disputes. Use the Pricing Dispute Form (below) to disagree with the contractual pricing of a claim or claim line. Before submitting a pricing dispute, we require you to validate your pricing dispute using all available resources. Note: Pricing disputes are …

https://www.bridgespanhealth.com/provider/claims-payment/payment/appeals

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Appeals for Providers

(7 days ago) Web1.8 Provider: Provider means provider, practitioner, physician, medical group, clinic, hospital or other health care professional as defined in the Agreement. 1.9 Provider Appeal: …

https://beonbrand.getbynder.com/m/42d3f481db932196/original/Administrative-Manual-Appeals-for-providers.pdf

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Useful plan information - BridgeSpan Health

(5 days ago) WebObtaining utilization management criteria. You can obtain a copy of the clinical rationale, diagnosis and treatment codes and their meanings, as well as any other information …

https://www.bridgespanhealth.com/provider/useful-plan-information

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Medical management, cost and quality programs - BridgeSpan …

(Just Now) WebA peer-to-peer review is a telephone conversation between a licensed BridgeSpan physician and the physician or other health care professional requesting authorization …

https://www.bridgespanhealth.com/provider/programs

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Recent Updates BridgeSpan Health Medical Policy Manual

(7 days ago) WebBridgeSpan Health Medical Policy Update, May 1, 2024. Changes to BridgeSpan Health Medical Policies Announced . The Plan uses medical policies as …

https://www.policy.bridgespanhealth.com/update/index.html

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Medical Policy Manual - BridgeSpan Health

(Just Now) WebThe Medical Policy Manual contains Medical Policies approved by the Medical Policy Workgroup. Medical Policies are based upon scientific evidence of merit for a particular …

https://www.policy.bridgespanhealth.com/

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Pricing disputes & appeals - Regence

(3 days ago) WebPricing disputes. Use the Pricing Dispute Form (below) to disagree with the contractual pricing of a claim or claim line. Before submitting a pricing dispute, we require you to …

https://ump.regence.com/provider/claims-payment/payment/appeals

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Lawsuits claim insurers unfairly refuse pricey hepatitis C drugs

(4 days ago) WebTwo Washington state insurers — Group Health Cooperative and BridgeSpan — are targeted in class-action lawsuits that claim the companies are …

https://www.seattletimes.com/seattle-news/health/lawsuits-claim-insurers-unfairly-ration-pricey-hepatitis-c-drugs/

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Judge Splits Dispute Over Contract to Recover Health Payments

(Just Now) WebGanny Belloni. A federal judge in Ohio delivered a split decision in a contract dispute between a firm that helps health-care providers recover underpayments from …

https://news.bloomberglaw.com/health-law-and-business/judge-splits-health-care-contract-dispute-blocks-17m-fee

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New ADR Rule to Govern Disputes Between 340B Covered Entities …

(9 days ago) WebDisputes between 340B Drug Pricing Program-covered entities and the drug manufacturers required to sell outpatient drugs to those entities at discounted prices will …

https://www.afslaw.com/perspectives/health-care-counsel-blog/new-adr-rule-govern-disputes-between-340b-covered-entities

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State rejection of 5 companies’ health plans draws criticism

(7 days ago) WebThe approved companies were Group Health Cooperative, BridgeSpan Health Company (an affiliate of Cambia Health Solutions, the parent company of …

https://www.seattletimes.com/seattle-news/state-rejection-of-5-companiesrsquo-health-plans-draws-criticism/

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State of New Jersey

(4 days ago) WebNEWARK – Attorney General Gurbir S. Grewal and the New Jersey Division of Consumer Affairs today announced that the Division has taken more than 200 actions …

https://www.nj.gov/oag/newsreleases20/pr20200424a.html

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Becerra Pressed to Improve Surprise Billing Dispute Process

(3 days ago) WebHealth and Human Services Secretary Xavier Becerra faced criticism on Capitol Hill over the Biden administration’s handling of a surprise billing dispute process …

https://news.bloomberglaw.com/health-law-and-business/becerra-pressed-to-improve-surprise-billing-dispute-process

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Bridgespan Health Insurance Reviews NewHealthInsurance

(1 days ago) WebBridgeSpan started business in 2012 and is a well-known name. Let’s check out BridgeSpan Health Insurance reviews to determine if it is worth buying. Skip to …

https://www.newhealthinsurance.com/bridgespan-health-insurance-reviews/

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FAIR Health Overview and Solutions - NYHPA

(1 days ago) WebFAIR Health Mission. Origins: Established as a conflict-free, independent, national not-for-profit. Mission: To bring transparency and integrity to healthcare costs …

https://nyhpa.org/wp-content/uploads/2018/06/5.31.18-FAIR-Health-Presentation-for-NYHPA.pdf

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Payment information - Asuris

(4 days ago) Web7. 3. Payment-related information - payment-related ASC X12 data segments. TRN02 and TRN03. EFT Trace Number and Payer Identifier. Check/EFT trace number. Receiving …

https://www.asuris.com/provider/claims-payment/payment

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Aadhick Solutions Inc

(2 days ago) WebAadhick Solutions is uniquely positioned in helping the Payers navigate challenges around Population health, ACO, Value-base care, Regulatory reporting and much required …

http://www.aadhicksolutions.com/

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