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Web medicare advantage prescription drug coverage determination request form; Web help help for providers: Electronic form submissions will be unavailable from. How do i appeal a medicare payment or claim? Contracted providers with blue cross’ medicare. Web filing a medical appeal. You can ask for an appeal if coverage or payment for an item or medical service is denied that. Web medicare advantage includes blueadvantage sm diamond, ruby, garnet and sapphire which should be listed on. Web forms currently the blue kc provider portal is undergoing maintenance. Web your level 1 appeal (reconsideration) will automatically be forwarded to level 2 of the appeals process in the following.