Provider Central

This article is for all providers, except dentists, caring for our members

We would like to remind providers that when you appeal a claim denial (also called an administrative appeal), we will not accept more than two appeals for the same claim.

This means if you submit two separate appeals for the same claim and both are denied, please do not submit another appeal as we will not consider it.

Resources

You can find information on administrative reviews and appeals, including dates of appeals we are currently processing, on our Administrative Reviews and Appeals page.

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