Provider Claim Appeals
Providers can appeal a claim by submitting a letter to the medical and dental claims administrator at the address designated for correspondence.
If the initial appeal is upheld and you have additional information to submit for review, a written request must be sent to the medical and dental claims administrator petitioning another appeal of the claim payment. Submit the written request for an additional appeal to the correspondence address:
P.O. Box 24110
Oklahoma City, OK 73124
All appeals must be made in writing within two years from the date of the RA.
Dispute resolution (only Network Providers): An additional 90 days from the first notification is allowed for disputes. If the attempt to resolve the issue is not successful, payment is issued in accordance with “Dispute Resolution” as defined in the Network Provider contracts.