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Wiki Issues with UMR Credentialing and Claim Denials

Danacevedo

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Las Vegas, NV
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Hi everyone,

Has anyone experienced issues contracting with UMR? They require the credentialing process to be completed through UHC, which we have already done for our providers. However, when we submit claims to UMR, they are being denied with remark code M115: "This item is denied when provided to this patient by a non-contract or non-demonstration supplier."

Has anyone encountered this situation? If so, how did you resolve it? Any guidance or advice would be greatly appreciated.

Thank you!
 
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