Dispute Resolution Timeline

NEMS will acknowledge the receipt of the PDR within fifteen (15) working days of receipt of the dispute.

NEMS will issue a written determination, including a statement of the pertinent facts and reasons, to the provider within forty-five (45) working days after receipt of the provider claim dispute.

If the initial submission of the PDRR is incomplete, NEMS will return it to the provider with identification of the missing information. Provider has fifteen (15) working days to resubmit an amended PDRR with requested information.

NEMS will issue a written determination to the provider within forty-five (45) working days after receipt of the amended PDRR.







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