Denials, appeals and grievances

Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

fax appeals

Provider Dispute Resolution (PDR) Unit — contracted and non-contracted provider disputes

Official page read

Phone

No phone listed for this route

Fax

855-891-7173

Provider disputes with PDR form.

Published hours

Not published in this record

Product, plan and location

medicaid · dsnp
California

Mailing address

Alameda Alliance for Health ATTN: Provider Dispute Resolution (PDR) Unit P.O. Box 2460 Alameda, CA 94501-4506

Mailed provider disputes.

Provider claim disputes (Medi-Cal/Group Care within 365 days; Alliance Wellness within 120 days) with the PDR form. Not for retro authorizations, which go to UM.

View source ↗ · Source checked 2026-10-25

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Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

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Denial notice, remittance and reason codes
Previous appeal confirmation and decision
Supporting evidence and any required authorization to represent the member

Questions to resolve

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