How can the medical provider request reconsideration of reimbursement?
The provider must make a written request within 30 days from receipt of the Explanation of Benefits form. Allowances may be made by payer for the period of time in submission of reconsideration requests. The payer must respond within 30 days of receipt to the request for reconsideration. The payer must review and re-evaluate the original bill and respond accordingly. If the medical provider is still dissatisfied, then a request for dispute resolution should be filed with the MWCC Medical Cost Containment Department.
