Dispute Claim Form For Reimbursement In Hennepin

State:
Multi-State
County:
Hennepin
Control #:
US-00435BG
Format:
Word; 
Rich Text
Instant download

Description

The parties may agree to a different performance. This is called an accord. When the accord is performed, this is called an accord and satisfaction. The original obligation is discharged. In order for there to be an accord and satisfaction, there must be a bona fide dispute; an agreement to settle the dispute; and the performance of the agreement. An example would be settlement of a lawsuit for breach of contract. The parties might settle for less than the amount called for under the contract.

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FAQ

Please use payer ID 60058 to send claims directly to Hennepin Health's claims preprocessor, Availity.

MSP claims must be submitted to Medicare within the established timely filing guideline for all Medicare claims, which is one calendar year from the date of service. There are some exceptions to the timely filing limit, but none of those exceptions apply to determining a patient's MSP status.

Please use payer ID 60058 to send claims directly to Hennepin Health's claims preprocessor, Availity.

In 2018, HCMC became Hennepin Healthcare.

Please use payer ID 60058 to send claims directly to Hennepin Health's claims preprocessor, Availity.

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Dispute Claim Form For Reimbursement In Hennepin