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  • Virginia Premier Reconsideration Form

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Claim Adjustment Claim Adjustment Request Form VPHP01 Request Form VPHP01 PO Box DEDICATED Virginia Premier Claims WELLBEING5286 Richmond, VA 23220 TO YOUR HEALTH AND Virginia Premier Claims PO Box.

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Empowering Your Family's Healthcare Make Virginia Premier your health plan. For over 20 years, Virginia Premier has provided high-quality Medicaid coverage to individuals and families in Virginia. The Virginia Premier Elite Individual (Medallion) plan makes healthy living easy with affordable care.

Virginia Premier has a Medicaid plan, focused on managed care. Every member has a care team dedicated to providing personalized health care and support. You can check your Medicaid eligibility and learn how to apply at coverva.org.

Submitting an Appeal To file an appeal or request assistance with filing an appeal, contact Virginia Premier's Medical Management (toll-free) at 855-813-0349. (TTY: 800-828-1120; TDD: 800-828-1140).

A corrected claim is a replacement of a previously submitted claim (e.g., changes or corrections to changes, clinical or procedure codes, dates of service, member information, etc.) A corrected claim is not an inquiry or appeal. Do no submit a Claims Adjustment VPHPO1 Request form with a corrected claim.

What is the time limit for appealing the outcome of a claim? Appeals for denied claims must be submitted to Virginia Premier within 60 days from the date on the Virginia Premier remit.

You can find a DMAS appeal form at https://.dmas.virginia.gov/appeals/. You can also write your own letter. Include a full copy of your notice of action and any documents you want DMAS to review during your appeal. If you have questions about an appeal, call the DMAS Appeals Division at 804-371-8488.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232