Provider Dispute Resolution Request Form LA Care Health Plan
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People also ask
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What is the timely filing limit for Blue Shield of California claims?
Initial disputes must be submitted within 365 days, or the time specified in the provider's contract, whichever is greater, of Blue Shield's date of contest, denial, notice, or payment. -
What is the timely filing for corrected claims for L.A. Care?
Corrected claim timely filing submission is 180 days from the date of service. -
What is provider dispute resolution?
A provider dispute is a written notice from the non-participating provider to Health Net that: Challenges, appeals or requests reconsideration of a claim (including a bundled group of similar claims) that has been denied, adjusted or contested. Challenges a request for reimbursement for an overpayment of a claim. -
What is the timely filing limit for L.A. Care provider appeal?
You have up to six months from the date of denial to file an IMR. You will receive information on how to file an IMR with your denial letter. You may signNow DMHC toll-free at 1-888-HMO-2219 or 1-888-466-2219. -
Does L.A. Care renew automatically?
If you have no changes, renewal is automatic. You don't need to do a thing. -
What is the timely filing for corrected claims for L.A. Care?
Corrected claim timely filing submission is 180 days from the date of service. -
How do I file an appeal with L.A. Care?
You can file an appeal by phone, in writing or online: By phone: Call L.A. Care Member Services at 1-888-839-9909 (TTY: 711) 24 hours a day 7 days a week including holidays. ... By mail: Call L.A. Care Member Services at 1-888-839-9909 (TTY: 711) and ask to have a form sent to you. -
What is the number for 1-888-839-9909?
If you are an L.A. Care member and have questions, we encourage you to contact our Member Services department for assistance at 1-888-839-9909 (TTY 711).
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