Submit a Payer Issue to the Payer Relations Committee


Payer Question Form - October 2024 - Panel of Payers

Payer Question Form

Panel of Payers

October 3rd, 2024
Hilton Garden Inn - West Des Moines

TIMELINE:

September 13th, 2024
Questions due from Members

September 18th, 2024
Questions due to Payers

September 27, 2024
Responses due from Payers

 

Please submit a separate form for each question by clicking the SUBMIT button at the bottom of the form to get a new form for additional questions.
Who is the question for (Payer)?: *
Aetna
Health Partners
IME
Iowa Total Care
Medica
Midlands Choice
Molina
United Healthcare
Wellmark
Wellpoint (Amerigroup)
WPS/Medicare
Other (provide specific payer info below)
Provide Payer info if "Other" checked above:
Question:
Submitted by (Your Name): *
Email Address: *
Organization: *
Examples of Issue/Claim Number (please no PHI and de-identify any examples)::
Attach Example list of Issue (NO PHI PLEASE):
(Valid File Types: bmp,csv,doc,docx,eps,gif,jpeg,jpg,mfp,pdf,png,ppt,pptx,rft,swf,tif,txt,xls,xlsx | Maximum File Size : 5.0 MB)


Thank you for submitting your question.  Responses and a summary will be posted after the October Panel of Payers Event