![]() HEALTHNET WELLCARE BY HEALTH NET PROVIDER APPEAL P.O. MASON, OH 45040-9398ĬENTRAL HEALTH MEDICARE PLAN PO BOX 14246 ORANGE, CA 92863 *Please note: United Healthcare does not handle 2 nd level disputes.ĭOWNLOAD A PRINTABLE PDF OF ADDRESSES AETNA MEDICARE HEALTH PLAN PO BOX 14067 LEXINGTON, KY 40512 FAX (724)741-4953ĪLIGNMENT HEALTH PLAN ATTN: PROVIDER APPEALS AND DISPUTES PO BOX 14012 ORANGE, CA 92863ĬALIFORNIA MEDICARE PROVIDER APPEALS DEPARTMENTīLUE CROSS SENIOR GRIEVANCES AND APPEALS OH0205-A537 MAIL LOCATION 4361 IRWIN SIMPSON RD. YOU ARE REQUIRED TO SUBMIT A WAIVER OF LIABILITY FORM FOR ALL RECONSIDERATION/APPEALS. You may download a copy by clicking here. Submit a written request within 60 calendar days of the remittance notification Issues related to bundling or downcoding of services. (appeal) of a Medicare Advantage plan payment denial determination including ![]() Pursuant to federal regulations governing the MedicareĪdvantage program, non-contracted providers may request reconsideration ![]() ![]() Process for Non-contracted Medicare Providers If a person other than a beneficiary is requesting for a Direct Member Reimbursement, please download and fill out the “ Appointment of Representative Form.” Submit the completed form along with the request for reimbursement and any pertinent documentation in order to complete the request to: Epic Management LP Attn: Claims Department 1615 Orange Tree Lane Redlands, CA 92374ĬLAIMS APPEALS - LISTING OF MEDICARE HEALTH PLAN APPEAL/PROVIDER DISPUTE ADDRESSESĪttention Non-contracted Medicare Providers ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |