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chronic liver disease and hepatitis may present with elevated levels Renal impairment : Reduced clearance can contribute to accumulation, though this is rarely clinically significant Solid tumours : Certain malignancies, particularly hepatocellular carcinoma and metastatic disease, may elevate B12 levels [3] Evidence suggests that unexplained markedly elevated B12 levels without supplementation may sometimes be associated with underlying disease

3 The registry record is listed with unknown status and does not provide a set of posted results sufficient to establish a public safety or effectiveness conclusion

This list can usually be found on United Healthcares website or in your plan documents

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(f) Advanced Primary Care Management Advanced Primary Care Management (APCM) payment finalized in section II.G.2 of this final rule incorporates several specific, existing care management and communication technology-based services into a bundle and includes performance measurement requirements that, for MIPS eligible clinicians, could be met by reporting the Value in Primary Care MVP beginning in the CY 2025 performance period/2027 MIPS payment year