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The document is a Request for Claim Reconsideration form that must be submitted within 60 days of the Explanation of Payment (EOP). It outlines the necessary information and documentation required for reconsideration, including provider details, member information, reasons for reconsideration, and submission instructions. Claims submitted without complete documentation or after the deadline will not be considered. The form also includes sections for provider comments and health plan use.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (45 Votes)
2018	4.4 Satisfied (242 Votes)
2015	4.2 Satisfied (70 Votes)
2014	4.4 Satisfied (286 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What does initial certification mean?

Definition. Initial certification refers to the first formal credential that a teacher receives, allowing them to teach in a public or private school setting.

What is acronym for certification?

cert. abbreviation. certificate; certification; certified; certify.

What is the date of the certificate?

Certificate Date means the date as shown in the Certificate Information Page is the date from where Certificate Anniversaries, Certificate Years, Certificate months and Contribution due dates are determined.

What is the initial certification date?

The certification date is the date when the professional first completed certification. The recertification date is the date when that professional completed recertification.

What does date of certification mean?

Certification Date means the later of the date on which an order granting certification or authorization of a Proceeding against one or more Non-Settling Defendants is issued by a Court and the time to appeal such certification or authorization has expired without any appeal being taken, or if an appeal is taken the

How to put certification after name?

The general rule is to list credentials in the following sequence: permanent credentials, professional licenses, national certifications, and then additional certifications. Permanent credentials are educational degrees, whereas professional licenses are often state-issued (e.g., counseling, respiratory therapy).

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