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Dispute ID Filed Date Related Claim(s) Type Amount Status Last Update Actions
DSP-2024-0912 Nov 24, 2024 CLM-2024-089543 Eligibility $3,280.00 Response Needed 2 hours ago
DSP-2024-0908 Nov 22, 2024 CLM-2024-089501, +2 more Pricing $12,450.00 Under Review 1 day ago
DSP-2024-0901 Nov 20, 2024 CLM-2024-089478 Calculation $8,920.00 Escalated 3 days ago
DSP-2024-0895 Nov 18, 2024 CLM-2024-089412 Documentation $5,670.00 Docs Needed 5 days ago
DSP-2024-0892 Nov 15, 2024 CLM-2024-089345 Pricing $15,200.00 Resolved Yesterday
Showing 1-5 of 23 disputes

DSP-2024-0912

Filed Nov 24, 2024 • Eligibility Dispute

Response Needed
Response Required by Nov 28, 2024
Our team has requested additional information. Please review and respond within 4 days to avoid automatic closure.

Dispute Summary

Related Claim
CLM-2024-089543
Disputed Amount
$3,280.00
Dispute Type
Eligibility Issue
Priority
High

Communication Thread

You Nov 24, 2024 at 10:30 AM

We believe this claim was incorrectly denied. Rural Health Network was added to our GPO membership roster effective October 1, 2024. Please see attached membership confirmation letter from Premier.

Resolution Team Nov 25, 2024 at 2:15 PM

Thank you for your dispute submission. We have reviewed the attached documentation. However, our records show that Rural Health Network was added to the Premier roster on October 15, 2024, which is after the claim period start date of October 1, 2024.

Could you please provide the effective date of membership as shown in your contract, or confirm if a retroactive adjustment was approved?

Response requested • 2 hours ago

Attached Documents

Premier_Membership_Confirmation.pdf
Uploaded Nov 24, 2024 • 245 KB

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Selected Claims: CLM-2024-089543
Dispute Type: Eligibility Question
Disputed Amount: $3,280.00
Priority: Normal
Documents: 1 file attached