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Blue Advantage® Claim Denials

Blue Advantage complies with all Centers for Medicare & Medicaid Services (CMS) regulatory requirements in regard to claim denials and the accuracy and timeliness of denial notices. Medicare law regulates claim payment and service authorization processes for Medicare Advantage members, ensures that members receive the benefits they are entitled to, and maintains members’ rights to appeal any adverse coverage determination.

Blue Advantage is a Medicare-approved PPO Plan.

Last Updated December 2013