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* 1. What is your role/ title? (ex - Appeals manager, health plan)

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* 2. Please rank these challenges (1 is most challenging)

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* 3. Do you use a 3rd party vendor to help with appeals?

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* 4. How large is your plan or program?

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* 5. Please tell us about any other challenges you experience with Medicaid appeals

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* 6. Please give us your email (used only for winner of gift card)

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