Claim Disputes for Participating Providers
Participating providers may submit a Claim Dispute within one hundred twenty (120) calendar days from the date of the corresponding Remittance Advice. Claim Disputes submitted past one hundred twenty (120) days from the date of the corresponding Remittance Advice will be considered a late filing and shall be rejected.
Supporting documentation must include the Remittance Advice and medical records; additional evidence may be required in specific cases. Incomplete submissions will not be accepted.
Please allow sixty (60) days for processing.
For additional information, please contact your Provider Relations Account Executive at (305) 422-9300 Option 2.
Last Updated: 03/22/2021