Payer Forum Question Form - Second Quarter 2020

WMGMA members are invited to submit their quesitons for the Payer Forum.  PLEASE: NO PHI or other Patient Identifers

Timeline & Due Dates:

JUNE 15th Questions due for payers WMGMA Members
June 17th Questions Due to Payers WMGMA Executive Director
July 7th Responses from Payers due to WMGMA Payer Representatives

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:
Question relates to: *
BOTH Facility AND Professional
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:
Is your question prompted by:
New Service
General Policy/Coverage Research
Denials (If Denials please provide detail in next question)
If you answered 'Denials' in the previous question, please provide the denial code(s) being used:

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

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