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  • Paramount Claim Adjustment Form

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CLAIM ADJUSTMENT/CODING REVIEW REQUEST Please refer to reverse side for complete instructions Section 1 - This section is required (PLEASE PRINT CLEARLY) Date of Request Provider Name NPI Number Provider.

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Member Services Department: toll-free 1-800-462-3589, TTY users 1-888-740-5670.

Helpline No. & Email ID Helpline No. : +91 22 666 20 808. Toll free No. : 1800 22 66 55. Senior Citizen Helpline No. : +91 22 666 29 813. Cashless Authorization Email Id : al.request@paramounttpa.com. Email Us : contact.phs@paramounttpa.com. Claim Intimation Email Id : claim.intimation@paramounttpa.com.

Payer Name: Paramount Health Care|Payer ID: PARHC|Professional (CMS1500)/Institutional (UB04)[Hospitals]

Call or contact the Paramount Electronic Claims Department at 419-887-2532 or 1-855-803-6777, or email phcecshelpdesk@promedica.org.

The claims “timely filing limit” is defined as the calendar day period between the claims last date of service or payment/denial by the primary payer, and the date by which Paramount receives the claim.

Call 833-554-2335 to talk with a Member Services representative Monday – Friday, 8 a.m. – 8 p.m. Note: From October 1 through March 31, we are available 8 a.m. – 8 p.m., seven days a week. If you use TTY telephone equipment, call us at 888-740-5670.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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