appeals grievances
Provider Disputes Department — reconsideration requests
Questions about how to submit a dispute.
Published hoursNot published in this record
medicaid · dsnp · medicare advantage
California
Written provider disputes / reconsideration requests.
Out-of-network providers may mail reconsideration requests with the CHG Provider Dispute Resolution form and supporting documentation; non-contracted providers for Medicare members must include a waiver of liability. An online disputes tool is also offered. Provider Services can explain how to submit.
View source ↗ · Source checked 2026-10-24
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