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To enhance efficiency and ensure the secure handling of appeal information, effective May 1, 2026, all providers will be required to use SPOT to check appeal status and access duplicate appeal decision letters.
We'd like to remind providers of medical documentation you'll need to submit when filing a redetermination or clerical error reopening for a claim (or line item) denied due to an MUE.
Here are payment allowances for ambulance services for services provided January 1-December 31, 2023 (revised).
View seasonal vaccine payment allowances and effective dates.
View revised ASC disclosures for dates of service January 1-March 8 and March 9-December 31, 2024.
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2024.
Learn about the provider enrollment process as well as the tools and resources available to assist you.
View this article for information regarding local contractor pricing.
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2023 (revised July 2023).
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