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Search in Terms Glossary

The search's minimum of 4 and maximum of 60 characters. To search for information outside the provider manual or to find a specific provider communication by the assigned material number, use the search bar located at the top right corner of this page.

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Appeal

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Member Request for Reconsideration

A verbal or written request to reconsider a previous decision or adverse determination. Requests can be from a member, the  member's participating provider or the member's representative and are categorized as: pre-service, post-service, expedited, or external review.

Last Updated: 07/01/2024