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Read this article for information about the CERT C3HUB website.
Use these self-service tools and forms to appeal claim decisions.
View these instructions for the CMS-855I form.
Review minutes from the Part A/B Provider Outreach and Education Advisory Group (POE-AG) meeting for Puerto Rico. Minutes are in Spanish only.
Use these self-service tools and forms related to claims.
View these round results for rehabilitation services outpatient.
View targeted probe and educate (TPE) round results for clinical laboratory services.
Review the top denial / partial denial reasons and high-level results listed for DRG 885.
Review these FAQs to learn more about the prior authorization for repetitive scheduled non-emergency ambulance transport.
See common definitions for claim submission types that may impact your billing.