Page Updated On 10/01/2021
Medicare Advantage Provider Resources
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Therapy Forms
Benefit Denial Forms
Quartz Medicare Advantage Benefit Denial Form Instructions
Dental Services (English | Spanish)
Swing Bed Care (Qualifying 3-Day Stay Not Met) (English | Spanish)
Skilled Nursing Facility Care (Qualifying 3-Day Stay Not Met)
Benefit Plan Exclusion Lists
UW Health (SwedishAmerican) Medicare Advantage (HMO) from Quartz
Aurora Health Care Medicare Advantage (HMO) from Quartz
Gundersen Medicare Advantage (HMO) from Quartz
Gundersen Minnesota Medicare Advantage (HMO) from Quartz
UW Health Medicare Advantage (HMO) from Quartz
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Medicare Compliance
Medicare Advantage First Tier, Downstream, and Related Entities (FDR)