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Medical Director Appeal Reviews <br />Per Review <br />$278.00 <br />eer <br />Detail <br />Unit <br />Fee <br />Peer Review <br />Per Hour <br />$195.00 - $400.00 <br />(Depending on Specialty) <br />Physician Intervention Review (Pharmacy <br />Review with Peer to Peer Contact) <br />Per Hour <br />$295.00 <br />Rush Fee <br />Per Rush <br />$100.00 <br />An ;{ciry and Other V .'.)n%,oed Clre Sc,- i''I"": <br />Detail <br />Unit <br />Fee <br />Diagnostic Network Services <br />N/A <br />Varies by State & <br />Procedure <br />Durable Medical Equipment Network <br />Varies by State & <br />N/A <br />Services <br />Equipment <br />Home Health Network Services <br />N/A <br />Varies by State & Services <br />Translation & Transportation Network <br />N/A <br />Varies by State & Services <br />Services <br />Physical Therapy Network Services N/A Varies by State & <br />Procedure <br />IME Network Services N/A Varies by State & Specialty <br />PPO Network Panels (Not required in OH) p Per Panel $9.00 <br />Our medical management services include a complete suite of all ancillary medical services, using multiple <br />networks that address our clients' needs --- including, but riot limited to, pharmacy benefit management., <br />diagnostics, durable medical equipment, transportation and translation, home health, physical therapy and <br />independent medical exams, These services are subject to the bill review rates as quoted above, plus the <br />applicable percentage of network savings achieved below the fee schedule or usual and customary charges. <br />