서신 템플릿
문의
SCAN Quality Management 문의:
Charia Ben
Network Compliance Auditor
이메일: DOSubmissions@scanhealthplan.com
- Coverage Decision Letter English
- Coverage Decision Letter Spanish
- Denial of Coverage for Inpatient Hospitalization Provider Denial
- Detailed Explanation of Non Coverage English
- Detailed Explanation of Non Coverage Spanish
- Detailed Explanation of Non Coverage Chinese
- Detailed Notice of Discharge English
- Detailed Notice of Discharge Spanish
- Detailed Notice of Discharge Chinese
- Detailed Notice of Discharge Korean U12020
- Extension Needed For Additional Information English
- Extension Needed For Additional Information Spanish
- Extension Needed For Additional Information Chinese
- Important Message From Medicare About Your Rights English
- Important Message From Medicare About Your Rights Spanish
- Important Message From Medicare About Your Rights Chinese
- Important Message From Medicare Korean U1 2020
- Informational Letter To Beneficiary And Or Provider Physician English
- Informational Letter To Beneficiary And Or Provider Physician Spanish
- Informational Letter To Beneficiary And Or Provider Physician Chinese
- Informational Letter To Beneficiary And Or Provider Physician Korean
- Medicare Outpatient Observation Notice MOON English
- Medicare Outpatient Observation Notice MOON Spanish
- Medicare Outpatient Observation Notice MOON Chinese
- Medicare Outpatient Observation Notice MOON Korean
- CA Notice of Authorization Facility English U2 2021
- CA Notice of Authorization Facility Spanish U2 2021
- CA Notice of Authorization Facility Chinese U2 2021
- Notice of Authorization Services English
- Notice of Authorization Services Spanish
- Notice of Authorization Services Chinese
- Notice of Denial of Medical Coverage English
- Notice of Denial of Medical Coverage Spanish
- Notice of Denial of Medical Coverage Chinese
- Notice of Denial of Medical Coverage Korean U2 2020
- Notice of Dismissal of PreService Request English
- Notice of Dismissal of PreService Request Spanish
- Notice of Dismissal of PreService Request Chinese
- CA Notice of Dismissal of PreService Request Korean
- Notice of Medicare NonCoverage English
- Notice of Medicare NonCoverage Spanish
- Notice of Medicare NonCoverage Chinese
- Notice of Medicare NonCoverage Korean
- Notice of Reinstatement of Coverage English
- Notice of Reinstatement of Coverage Spanish
- Notice of Reinstatement of Coverage Chinese
- CA Optional Form to Document Alternate Delivery
- Second and Third Opinion Authorization English
- Second and Third Opinion Authorization Spanish
- Second and Third Opinion Authorization Chinese
- Section 1557 Notice Multi Language English
- Section 1557 Notice Multi Language Spanish
- Section 1557 Notice Multi iLanguage Chinese
- Section 1557 Notice MultiLanguage Korean
- Services Requested Do Not Meet Expedited Criteria English
- Services Requested Do Not Meet Expedited Criteria Spanish
- Services Requested Do Not Meet Expedited Criteria Chinese
