Submit a Payer Issue to the IMGMA Payer Relations Committee


Payer Question Form - September 2022

Payer Question Form

The next Payer Relations Committee Meeting will be held September 13, 2022

 

 

Who is the question for (Payer)?: *
IME
WPS/Medicare
Wellmark
Amerigroup
Centene (Iowa Total Care)
United Healthcare
Aetna
Medica
Health Partners
Other (provide specific payer info below)
Provide Payer info if "Other" checked above:
Question:
Payers frequently ask for examples of the issue or additional supporting information. Please provide one or two CLAIM NUMBERS (NO PHI)::
Submitted by (Your Name): *
Email Address: *
Organization: *
Attach Supporting Documents:
(Valid File Types: bmp,csv,doc,docx,eps,gif,jpeg,jpg,mfp,pdf,png,ppt,pptx,rft,swf,tif,txt,xls,xlsx | Maximum File Size : 5.0 MB)
Attach Supporting Documents:
(Valid File Types: bmp,csv,doc,docx,eps,gif,jpeg,jpg,mfp,pdf,png,ppt,pptx,rft,swf,tif,txt,xls,xlsx | Maximum File Size : 5.0 MB)


Thank you for submitting your question.