![]() ![]() Send them to the Provider Appeals and Disputes team at the HMO addresses listed below. At each level, youll get instructions in the decision letter on how to move to the next level of appeal. Send dispute requests in writing and include all documentation to support your position. If you disagree with the decision made at any level of the process, you can generally go to the next level. A dispute review must be received within 180 days from the determination date of the initial dispute. If you do not agree with the dispute determination, you can request a Health Plan dispute review. If you have more questions about a dispute decision, contact us at:
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