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Appeals

Learn how to submit an appeal.

Submit appeals through InTouch

Provider appeals help us improve our products and the health of our communities. The best way to submit appeals is through InTouch, which can be accessed through OneHealthPort. To ensure a timely response, please include all relevant documentation such as medical records and justification for services.

Log in

You can also mail or fax your appeal following the instructions on the appropriate form below.

Appeals procedure, policies, and details

You can find detailed information about appeals in the provider manual, including:

  • Provider grievances
  • Member grievance and appeals
  • Appeal form requirements
  • Prior Authorization appeals
  • Prescription coverage appeals
  • Claims appeals
  • Appeals resolutions
  • Noncontracted provider appeals

 

Questions about appeals?

Please contact your Provider Service Representative.