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Get Paramount Negative Balance Report Fax Inquiry Form 2020-2024
Negative Balance Report Fax Inquiry Form Attn. Provider Inquiry Phone Number: 4198872564 Toll Free: 8888912564 Fax: 4198872014 Toll Free: 8554484705ADVANTAGE ELITE HMO PROMEDICA MEDICARE.
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FAQ
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Your MyParamount.org account is where you can access deductible counters, claims information, your ID card and more. Or, if you prefer to speak with your personal call center representative, call Paramount Member Services at 419-887-2525 (toll-free 800-462-3589) or TTY at 419-887-2526 (toll-free 888-740-5670).
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Requests can be submitted in writing, via fax to 904-539-4090, or via the Part B South QIC Appeals Portal at https://.c2cinc.com/QIC-Part-B-South. Requests can be submitted in writing, via the DME QIC Appeals Portal at https://qicappeals.cms.gov/, or by fax to 585-869-3314.
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Fax request to 1-888-541-3829.
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Fax: 1.866. 404.1771// Mail: Attn: Clinical PA Department- 411 Bienville St. Natchitoches, LA 71457 Be certain to keep copies of this form, your denial notice, and all documents and correspondence related to this claim. Liviniti is a service mark of Southern Scripts Holdings, LLC.
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Provider Appeals | Fax Submission Now you have the option of submitting Paramount's Clinical Authorization Appeal form via fax. Fax the form to Paramount Provider Appeals at 567-585-9500.
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Complete all information requested below and fax or email with a copy of complete medical records, itemized bills and a copy of the HCFA-1500 or UB-04 to (908) 658-3511 or billreview.integrity@zelis.com.
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