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  1. Click ‘Get Form’ to open the CareCentrix Claim Reconsideration Form in the editor.
  2. Begin by filling out the Patient Information section. Enter the patient's name, date of birth (DOB), intake ID, and address including street, state, and zip code.
  3. Next, complete the Provider Information section. Input your name, Tax Identification Number (TIN), National Provider Identifier (NPI), and address details.
  4. In the Claim Information section, provide necessary details such as provider invoice number, service dates, HCPCS/CPT codes with modifiers billed, claim number, original amounts billed and paid, and authorization numbers.
  5. Select the reason for your reconsideration request by checking the appropriate boxes. Be specific in describing your dispute and expected outcome in the comments section.
  6. Finally, fill in your contact name and date at the bottom of the form before submitting it through our platform.

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Our solutions include Post Acute Care: Site Optimization, Readmissions Management, Home Health, DME, Home Infusion, Sleep Management, and Palliative Support. CareCentrix is a Walgreens-owned company and employs more than 1,700 people across the country.
$17.50 - $22.00 Per Hour (Employer est.)
If you have additional questions regarding your bill or for general questions, call our toll-free Customer Service number at 833-592-1093 and follow the prompts for billing. Or you may visit .carecentrix.com/other-request. Please ensure you have the following information: Your first and last name.
The OIG asserts, instead, that CareCentrix is a Third Party Administrator (TPA) and not a true health care provider. There are not definitions, however, of provider, true health care provider, or TPA in the FEHBAR.
CareCentrix provides specialty benefit management services to health plans, improving quality and reducing costs in several areas of home-based healthcare such as home nursing, home medical equipment, home drug infusion, sleep diagnostic tests and hospital readmissions.

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WBAs full acquisition of CareCentrix follows WBAs 55% majority investment in the company, which closed on August 31, 2022. The full acquisition is subject to limited customary closing conditions and is expected to close by March 2023.

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