Log on to Availity ® to request a claim review and initiate a negotiation (independent dispute resolution-IDR) for NSA-eligible services. If you do not have a contract with us, claims for certain services may be eligible for payment review under the No Surprises Act (NSA). Participating providers can contact your local Network Management office if you have any questions concerning the process for claim reviews. Mail the completed Claim Review form, along with any attachments, to the appropriate address indicated on the form. notified professional providers about new timely filing requirements effective November 1, 2019.
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