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Navigation through Health Plan Preauthorization and Appeals | Bend, OR

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PacificSource Health Plans - Bend Office

2965 Northeast Conners Avenue

Bend, OR 97701

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This workshop for medical assistants is intended to identify ways in which the insurer and provider groups, including medical assistants and office staff, may work together to reduce overall burden on the patient and provider while ensuring that necessary services are approved.

It will present the system checks and balances that have been created to reduce overconsumption of unnecessary, costly procedures, as well as prescribing and utilization of costly pharmaceuticals when appropriate generic medications are available.

Once a pre/prior authorization has been denied and an appeal has been generated to overturn the denial, what are the next steps for the patient and the provider? The health plan is focused on working with both members and providers to address disputes, complaints, coverage determinations, and redeterminations.

This workshop will focus on the appeal process and how medical assistants can help providers and patients navigate the system.

There will be light dinner, and a door prize available.

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Date and Time

Location

PacificSource Health Plans - Bend Office

2965 Northeast Conners Avenue

Bend, OR 97701

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