HEDIS MY 2020 & 2021 Technical Specifications and Measure Changes*
*Excerpted from HEDIS MY 2020 & 2021 Technical Specifications
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If you have not met with your assigned Provider Engagement Specialist or would like to schedule an in-office training or meeting to address any questions regarding the authorization process, claims issues, appeals, SummaCare products/benefits or Plan Central training, please contact the assigned Provider Engagement Specialist for your office.
View patient eligibility, benefits, claims status, and self-funded prior authorization lists, as well as review clinical edits and clarifications.