You can submit your request for an appeal directly to Kepro by mail, phone, fax or email by using our contact information from above. Harrisburg, PA 17111-2754. Appeal Request. Home; Behavioral Health Application Rate Requests; Beneficiary Information and Appeals; MCSCs and DPs . TRICARE Appeals: Attn: Recon/Appeals Section 777 East Park Drive Harrisburg, PA 17111-2754 tricare.kepro.com . medical record electronic submission Effective October 1, 2020, the Centers for Medicare & Medicaid Services (CMS) requires providers to send medical records to Kepro electronically. 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. Absence Management Program 6095 Marshalee Drive Suite 130 Elkridge, MD 21075 Phone: 262-289-3196 . Determination letters will be faxed to the number used for the medical record request. This means the Medicare Advantage plan must make a decision about the appeal within three calendar days. Our seasoned team works collaboratively with both members and providers to support many different appeals including: 1st and 2nd Level Medical Necessity Reviews Telephone notification will be made to Medicare . The Funds - UMWA 801 Royal Parkway You may also appeal directly to the Department of . Details for KePRO Organization Type: Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) Organization Name: KePRO . Covered States and Territories: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, Ohio . Provider Medical Record Upload - Appeals. 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. APPEALS INQUIRIES If you have a question regarding an appeal, please contact our Beneficiary Helpline. Contact Details. Tennessee . Contact Us. 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. Kepro performs appeals and grievances on behalf of CMS and state Medicaid agencies and commercial plans.

We protect the rights of members by making timely and informed decisions. Local Phone: 813-280-8256 Toll-free Fax. Providers will receive automated faxes with immediate notification of appeal determinations within 30 minutes of Kepro notifying the beneficiary or their family.

So is Kepro. Email: tricare@kepro.com. Tricare Hotline: 877.841.6413 FAX . 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. To find contact information for your area, please click here. Tricare Hotline: 877.841.6413 FAX: 877.841.6414 Email: tricare@kepro.com. Visit MHCP.kepro.com, click the Atrezzo Login button and you will be prompted to enter your NPI number and Registration Code. Submit Grievances and/or Complaints to KEPRO in writing at vaproviderissues@kepro.com or contact EKPRO Customer Service Department at 888.827.2884. .

Kepro appeals check status. Posted: 1/29/2020. Jan 06, . Complaints about quality of care, and filing an appeal or complaint. Appeals.

Request for an Appeal is submitted to Virginia Department of Medical Assistance . Government sponsored healthcare programs are unique. To obtain your Registration code contact Kepro Customer Service at 866.433.3658 for assistance. Appeal Request. 2022 Provider Training Schedule; To access Kepro's 2022 Provider Training Schedule, please click the Training tab then select General . If you said "yes," you can call Kepro and one of our staff will talk with you about filing a quality of care complaint. Kepro provides technology-enabled services for priority populations to help them remain in the home or community of their choice. Customer/Provider. Kepro is the Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) for the 29 states highlighted in the map below. 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) Please contact us to share your concerns confidentially.

Or, you can immediately initiate an appeal by sending us an email now. You can reach us by email at compliance@kepro.com. 777 East Park Drive Harrisburg, PA 17111-2754. 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. We partner with government and private healthcare payers to maximize healthcare quality, improve accuracy and increase efficiency. OUR OFFICES You can submit your request for an appeal directly to Kepro by mail, phone, fax, or email by using our contact information below. Grievances/Complaints are reviewed and resolved within five (5) business days. Our phone numbers are below. Find the toll-free number for your state at www.keproqio.com/helpline. If you have questions about a specific case, please call the toll-free number for your state listed above.

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KEPRO Attn: Recon/Appeals Section. north carolina contact information. Posted: 2/1/2022 . General Contact for Commercial Appeals reviewservices@kepro.com. COMPLIANCE INQUIRIES Do you have a compliance concern? Please simply supply us with your name and preferred method of contact, such as a phone number. 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. Kepro Helpline: 1-888-317-0751. 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. Submitting a Florida PASRR Appeal. If you have not registered for online submission, please do so prior to the training. Please contact Kepro's Helpline with any questions.