Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.
appeals grievances
Provider appeals and payment disputes mailing (non-contracted)
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Phone
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Published hours
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Product, plan and location
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Mailing addressAlignment Health Plan
Attn: Provider Appeals and Dispute
P.O. Box 14012
Orange, CA 92863-1412
Written non-contracted provider appeals and payment disputes.
Non-contracted provider appeals require a signed Waiver of Liability; payment disputes must be filed within 120 days of the remittance advice. An online submission option is preferred; contracted providers use the AVA portal.
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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
Is this a claim correction, provider dispute or member appeal?
What deadline and submission channel apply to this case?
How can the office confirm receipt and track the decision?
This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.
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