Home; Behavioral Health Application Rate Requests; Beneficiary Information and Appeals; MCSCs and DPs . If you have questions about a specific case, please call the toll-free number for your state listed above. We partner with government and private healthcare payers to maximize healthcare quality, improve accuracy and increase efficiency. Tricare Hotline: 877.841.6413 FAX: 877.841.6414 Email: tricare@kepro.com. TTY:* 711 *A TTY (teletypewriter) is a special device that lets people who are deaf, hard of hearing, or speech-impaired use the telephone to communicate, by allowing them to type messages back and forth to one another instead of talking and listening. We protect the rights of members by making timely and informed decisions. Complaints about quality of care, and filing an appeal or complaint. Jan 06, . Providers will receive automated faxes with immediate notification of appeal determinations within 30 minutes of Kepro notifying the beneficiary or their family. Provider Medical Record Upload - Appeals. Telephone notification will be made to Medicare . Contact Us. Tricare Hotline: 877.841.6413 FAX . You can submit your request for an appeal directly to Kepro by mail, phone, fax, or email by using our contact information below. Kepro provides technology-enabled services for priority populations to help them remain in the home or community of their choice. KEPRO Attn: Recon/Appeals Section. If you need this faster review, ask your Medicare Advantage plan for an "expedited appeal." For additional information about a denial of coverage, call 1-800-MEDICARE. Email: tricare@kepro.com. Our seasoned team works collaboratively with both members and providers to support many different appeals including: 1st and 2nd Level Medical Necessity Reviews To obtain your Registration code contact Kepro Customer Service at 866.433.3658 for assistance. Visit MHCP.kepro.com, click the Atrezzo Login button and you will be prompted to enter your NPI number and Registration Code. Tennessee . You may also appeal directly to the Department of . OUR OFFICES Our phone numbers are below. Absence Management Program 6095 Marshalee Drive Suite 130 Elkridge, MD 21075 Phone: 262-289-3196 . If you or your guardian has received a PASRR Level II determination that you do not agree with, you have 90 days from the date of the decision to submit an appeal. As a BFCC-QIO, Kepro helps people who are on Medicare - and their families and caregivers - to file quality of care complaints and hospital discharge and skilled service termination appeals. . Submit Grievances and/or Complaints to KEPRO in writing at vaproviderissues@kepro.com or contact EKPRO Customer Service Department at 888.827.2884. Find the toll-free number for your state at www.keproqio.com/helpline. Local Phone: 813-280-8256 Toll-free Fax. Please contact us to share your concerns confidentially. Details for KePRO Organization Type: Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) Organization Name: KePRO . Posted: 1/29/2020. 2022 Provider Training Schedule; To access Kepro's 2022 Provider Training Schedule, please click the Training tab then select General . If you have not registered for online submission, please do so prior to the training. For questions regarding this change or the upcoming training please contact Kepro Provider Relations at 1-866-521-0027, Option 3, or via email at [email protected]kepro.com 4/19/2022 - Section 97, Appendix D Children's Residential Care Facility (CRCF) Services Changes. Customer/Provider. Appeal Request. Kepro is the Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) for the 29 states highlighted in the map below. So is Kepro. Appeals. Harrisburg, PA 17111-2754. Posted: 2/1/2022 . If you said "yes," you can call Kepro and one of our staff will talk with you about filing a quality of care complaint. General Contact for Commercial Appeals reviewservices@kepro.com. The Funds - UMWA 801 Royal Parkway Government sponsored healthcare programs are unique. Or, you can immediately initiate an appeal by sending us an email now. Kepro is not able to provide case status updates or information via the e-mail listed below and will refer all such inquiries to the Helpline. medical record electronic submission Effective October 1, 2020, the Centers for Medicare & Medicaid Services (CMS) requires providers to send medical records to Kepro electronically. Covered States and Territories: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, Ohio . You can reach us by email at compliance@kepro.com. Kepro appeals check status. Submitting a Florida PASRR Appeal. Contact Details. In accordance with regulations of SCDHHS, a provider wishing to file an appeal must request a hearing in writing and submit a copy of the notice of adverse action or the remittance advice reflecting the denial in question. 777 East Park Drive Harrisburg, PA 17111-2754. north carolina contact information. Grievances/Complaints are reviewed and resolved within five (5) business days. Kepro performs appeals and grievances on behalf of CMS and state Medicaid agencies and commercial plans. reasons why you may choose to file a complaint You may want to call Kepro if you (or the person you are calling for) Received the wrong medicine Received too much of a medicine dose (i.e., overdose) TRICARE Appeals: Attn: Recon/Appeals Section 777 East Park Drive Harrisburg, PA 17111-2754 tricare.kepro.com . This means the Medicare Advantage plan must make a decision about the appeal within three calendar days. You can submit your request for an appeal directly to Kepro by mail, phone, fax or email by using our contact information from above. Appeal Request. Determination letters will be faxed to the number used for the medical record request. COMPLIANCE INQUIRIES Do you have a compliance concern? Kepro Helpline: 1-888-317-0751. Request for an Appeal is submitted to Virginia Department of Medical Assistance . Please simply supply us with your name and preferred method of contact, such as a phone number. To find contact information for your area, please click here. APPEALS INQUIRIES If you have a question regarding an appeal, please contact our Beneficiary Helpline. Please contact Kepro's Helpline with any questions.
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