Revenue Cycle

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Resource 2. Notice of Denial of Medical Coverage

Note: Medicare Advantage programs must follow the rules outlined in the January 1, 2020, Parts C & D Enrollee Grievances, Organization/Coverage Determinations, and Appeals Guidance.[1]

Important: This notice explains your right to appeal our decision. Read this notice carefully. If you need help, you can call one of the numbers listed on the last page under “Get help & more information.”

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