Clover Health

Denials, appeals and grievances

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

appeals grievances

In-network claims payment disputes — fax, email and mail

Official page read
Phone

No phone listed for this route

Fax

888-240-7243

Published email

submitappeals@cloverhealth.com

Payment dispute and appeal submissions

Published hours

Not published in this record

Product, plan and location

medicare advantage
National contact — confirm product and location

Mailing address
Clover Health Attn: Claims P.O. Box 21164 Eagan, MN 55121

In-network claims payment disputes with attachments (not for claim submissions)

Use the Claims Payment Dispute form and supporting documents.

View source ↗ · Source checked 2026-10-25

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appeals grievances

Out-of-network claims payment disputes and appeals — fax, email and mail

Official page read
Phone

No phone listed for this route

Fax

732-412-9706

Published email

submitappeals@cloverhealth.com

Payment dispute and appeal submissions

Published hours

Not published in this record

Product, plan and location

medicare advantage
National contact — confirm product and location

Mailing address
Clover Health Attn: Appeals P.O. Box 21672 Eagan, MN 55121

OON payment disputes and appeals

Guide lists fax 1-732-412-9706 as the Appeals fax in the department table.

View source ↗ · Source checked 2026-10-25

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fax appeals

Member grievances fax

Official page read
Phone888-657-1207Fax

551-227-3962

Published hours

Not published in this record

Product, plan and location

medicare advantage
National contact — confirm product and location

Mailing address

Not researched for this route

Guide: Appeals & Grievances T 1-888-657-1207; F 1-551-227-3962 for grievances (appeals fax 1-732-412-9706).

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

appeals grievances

Payment Integrity pre-pay audit disputes

Official page read
Phone

No phone listed for this route

Fax

912-662-0673

Published email

prepay.paymentintegrity@cloverhealth.com

Published hours

Not published in this record

Product, plan and location

medicare advantage
National contact — confirm product and location

Mailing address
Clover Health Attn: Payment Integrity – Pre-Pay P.O. Box 21862 Eagan, MN 55121

Pre-pay audit disputes (include audit letter)

Include a copy of the audit letter with the dispute.

View source ↗ · Source checked 2026-10-25

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appeals grievances

Payment Integrity post-pay audit disputes

Official page read
Phone

No phone listed for this route

Fax

866-509-4325

Published email

postpay.paymentintegrity@cloverhealth.com

Published hours

Not published in this record

Product, plan and location

medicare advantage
National contact — confirm product and location

Mailing address
Clover Health Attn: Payment Integrity – Post-Pay P.O. Box 21852 Eagan, MN 55121

Post-pay audit disputes (include audit letter)

Include a copy of the audit letter with the dispute.

View source ↗ · Source checked 2026-10-25

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Help the next office

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Call preparation · editorial guide

Make the call count.

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

Have ready in your secure workspace

  • 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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