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TPE Provider Contact Information

Providers selected for a Targeted Probe and Educate (TPE) review will receive an initial notification letter that includes:

  • The reason for selection.
  • An overview of the TPE process.
  • CGS contact information.
  • A request for provider contact information.

The “Provider Contact Request and PHI Form” is the last page of the notification letter. This is your opportunity to let CGS know who we should contact to provide support during the TPE review process. The medical reviewer and Senior Provider Education Consultant use the information you provide to establish and maintain contact throughout the review.

Sample Form

Provider Contact Request and PHI Form Sample

Additional Information

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