Payer Forum Question Form

WMGMA members are invited to submit their quesitons for the Payer Forum.  Due dates are as follows:

Payer Forum Date:    Questions Due By:
June 17, 2019     May 15, 2019
September 16, 2019     August 1, 2019
December 16, 2019     November 1, 2019

Please submit a separate form for each question!

Questions about the event?  Email WMGMA Executive Director:  Jean Thomas, CMPE |

Question Submitted By
Your Name: *
Your Organization: *
Your Title: *
Best number to reach you in the event that clarification is needed: *
Your Email: *
Question Details
Question for: *
Third Party Payer
Medicare Advantage
Other (Describe in next question)
Explain Other:
Procedure code in question (if there is more than one, please submit a separate form):
Scenario that code is used in:
Provider types:
Additional Information:

Thank you for submitting your questions for the WMGMA Payer Forum.

Have questions?  Email WMGMA Executive Director:  Jean Thomas, CMPE |