How do I report a problem with an incorrect claims payment?
A. Most claims payment issues can be resolved by simply calling the insurance administrator. Once you have brought the issue to their attention, the claims office can usually make arrangements for the claim to be reprocessed. It is recommendable to indicate that you are an “in-network provider” and have them enter your practice TIN or SSN to verify that the claim was processed according to the PPO contract in-network . If you are unable to resolve the issue by contacting the administrator directly, please contact us or call the numbers listed below. Note: Remember to document the administrator phone number, date of call, the name of the person with whom you spoke, and a brief explanation. We will use this information to help with follow up.
