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New Medicare Advantage Provider Complaint Form: Essential Updates for Providers and Billers

The Centers for Medicare and Medicaid Services (CMS) released a new online form for providers to submit complaints about Medicare Advantage (MA) plans.

Complaints may be related to appeals, payments, denials, and other plan specific issues, provided they relate to a specific beneficiary. The form requires information about the complainant, beneficiary, provider, MA plan, a complaint summary, and optional date(s) of service, and claim number fields.  As the information is submitted directly online, MA plans will not receive the original provider complaint form. Read more here: CMS MA Provider Complaint Form: Essential Updates for Providers and Billers
 
Staff contact: awesthoff[at]mehca.org