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Unformatted text preview: redetermination. This form is reviewed by a qualified independent contractor. If the claim is still denied, the claim can be sent to and administrative law judge. The amount of the appeal must be more than $110 and must be requested 60 days of receiving the reconsideration notice. The next step is the department appeals board. After receiving a response from the administrative law judge the claim must be sent to the department appeals board within 60 days. The last step is federal court. The amount of the dispute must be more than $1,090 and must be requested 60 days of receiving the department appeals board decision. Claims errors such as overpayments, underpayments, and incorrect codes occur often. These issues can be corrected easily but at times an appeal may have to be made to have them corrected if not caught before payment. References University of Phoenix. (Payment Processing). . Retrieved from University of Phoenix, HCR/230 website....
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This note was uploaded on 10/16/2011 for the course HCR230 HCR230 taught by Professor Valerie during the Spring '11 term at University of Phoenix.
- Spring '11