Forms
- Authorization to Use and Disclose PHI
- Medicare Appointment of Representative
- Pharmacy Prior Auth Request (PAR) / Exception Request Form
- Complaint and Appeal
- Medicare Member Reimbursement
- Prescription Drug Coverage Determination Request
- Coordination of Benefits
- Medimpact Claim Form
- Request for Redetermination of Medicare Prescription Drug Denial Form
- Denver Parks & Recreation Membership
Documents
- Star Ratings
- LIS Summary Table
- Request Provider Pharmacy Directory Hardcopy
- Advance Directive / Living Will
Links
- Affirmative Statement About Incentives
- LIS Premium Subsidy
- Medicare Exceptions, Grievances and Appeals
- Best Available Evidence
- Medicare Disenrollment
- Medical Prior Authorization List
- Denver Parks & Recreation Center Locations
- Medicare Enrollment Instructions
- Member Rights & Responsibilities
- Glossary