DialClerk Directory

Elevance Health / Anthem

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

Simply Healthcare Plans (FL) Medicaid medical authorization appeals

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Florida

Mailing address
Simply Healthcare Plans, Inc. Medical Appeals P.O. Box 62429 Virginia Beach, VA 23466-2429

Provider appeals of medical authorization denials (within 120 days); Availity is preferred

Provider grievances not related to claims go to Attn: Member Appeals at the same box, fax 866-216-3482.

View source ↗ · Source checked 2026-10-24

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appeals grievances

Simply Healthcare Plans (FL) Medicaid payment disputes

Official page read
Phone844-405-4296Published hours

Not published in this record

Product, plan and location

medicaid · chip
Florida

Mailing address
Simply Healthcare Plans, Inc. Payment Disputes P.O. Box 61599 Virginia Beach, VA 23466-1599

Written claim payment disputes (within 90 days of the final determination of the primary payer)

Menu guidance in the source record

Select the Claims prompt

Menus can change. No live call verification is claimed.

Disputes can also be filed digitally in Availity Essentials.

View source ↗ · Source checked 2026-10-24

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

fax appeals

Simply Healthcare Plans (FL) provider grievances (non-claims)

Official page read
Phone

No phone listed for this route

Fax

866-216-3482

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Florida

Mailing address
Simply Healthcare Plans, Inc. Attn: Member Appeals PO Box 62429 Virginia Beach, VA 23466-2429

Provider grievances not related to claims payment (within 45 days)

View source ↗ · Source checked 2026-10-24

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appeals grievances

Simply Healthcare Plans (FL) Medicare Advantage appeals — Part C and Part D fax

Official page read
Phone

No phone listed for this route

Fax

888-458-1406

Published hours

Not published in this record

Product, plan and location

medicare advantage · dsnp
Florida

Mailing address
Medicare Complaints, Appeals & Grievances (MCAG) Attention: Medical Necessity Provider Appeals Mailstop: OH0205-A537 4361 Irwin Simpson Road Mason, Ohio 45040

Medicare participating-provider medical-necessity appeals and member liability appeals

Fax shown is the Part C appeals fax; Part D appeals fax is 888-458-1407. Medicare payment disputes: Medicare Payment Dispute Unit, P.O. Box 61599, Virginia Beach, VA 23466-1599.

View source ↗ · Source checked 2026-10-24

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fax appeals

Simply Healthcare Plans (FL) provider termination appeals

Official page read
Phone

No phone listed for this route

Fax

800-964-3627

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Florida

Mailing address
Simply Healthcare Plans, Inc. Attn: Provider Appeals 11430 NW 20th Street, Suite 300 Miami, FL 33172

Written appeals of network termination (within 30 days of notice)

View source ↗ · Source checked 2026-10-24

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appeals grievances

California Medi-Cal grievance and appeals department

Official page read
Phone

No phone listed for this route

Fax

866-387-2968

Published hours

Not published in this record

Product, plan and location

medicaid
California

Mailing address
Anthem P.O. Box 60007 Los Angeles, CA 90060-0007

Grievance & Appeals Department.

Physician/provider grievances and appeals for Anthem Medi-Cal.

View source ↗ · Source checked 2026-10-24

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appeals grievances

Anthem BCBS Healthcare Solutions Nevada Medicaid — claim payment disputes/appeals (written)

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Nevada

Mailing address
Anthem Payment Disputes Payment Dispute Unit P.O. Box 61599 Virginia Beach, VA 23466-1599

Claim payment appeals

Written claim payment appeals with EOP and claim copy; disputes also via Availity.

View source ↗ · Source checked 2026-10-25

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appeals grievances

Anthem BCBS Healthcare Solutions Nevada Medicaid — medical appeals (written)

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid · chip
Nevada

Mailing address
Anthem Blue Cross and Blue Shield Healthcare Solutions Medical Appeals P.O. Box 62429 Virginia Beach, VA 23466-2429

Medical appeals

Medical (medical necessity) appeals in writing.

View source ↗ · Source checked 2026-10-25

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fax appeals

Anthem Ohio Medicaid provider and authorization appeals fax

Official page read
Phone844-912-1226Fax

866-587-3316

Published hours

Not published in this record

Product, plan and location

medicaid
Ohio

Mailing address

Not researched for this route

Provider appeals and member-consented authorization appeals (Ohio Standardized Appeal form); expedited appeals also by this fax. Electronic option: Availity Interactive Care Reviewer.

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.

fax appeals

Anthem Ohio commercial grievance and appeals

Official page read
Phone

No phone listed for this route

Fax

888-859-3046

Non-urgent appeals fax (urgent: 800-368-3238)

Published hours

Not published in this record

Product, plan and location

commercial
Ohio

Mailing address
Anthem Attn: Grievance and Appeals P.O. Box 105568 Atlanta, GA 30348-5568

Grievance and appeals

Ohio local commercial, Exchange and Medicare Supplement/group appeals address. Urgent appeals fax 800-368-3238.

View source ↗ · Source checked 2026-10-25

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fax appeals

Anthem Ohio commercial urgent appeals fax

Official page read
Phone

No phone listed for this route

Fax

800-368-3238

Published hours

Not published in this record

Product, plan and location

commercial
Ohio

Mailing address

Not researched for this route

Urgent appeals only.

View source ↗ · Source checked 2026-10-25

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appeals grievances

Anthem Ohio Medicare Advantage appeals and grievances

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicare advantage
Ohio

Mailing address
Medicare Advantage Appeals and Grievances Mailstop: OH0205-A537 4361 Irwin Simpson Rd. Mason, OH 45040

MA appeals and grievances

Individual Medicare Advantage (MediBlue) appeals and grievances.

View source ↗ · Source checked 2026-10-25

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appeals grievances

Healthy Blue (MO) claim payment dispute (reconsideration / payment appeal) address

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid
Missouri

Mailing address
Healthy Blue PO Box 61599 Virginia Beach, VA 23466-1599

Claim payment disputes

Written reconsiderations and claim payment appeals; disputes must be received within 365 days of the EOP. Availity Payment Appeal tool is the online option; verbal reconsiderations via provider services.

View source ↗ · Source checked 2026-10-25

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fax appeals

Healthy Blue (MO) medical appeals fax

Official page read
Phone

No phone listed for this route

Fax

855-860-9122

Published hours

Not published in this record

Product, plan and location

medicaid
Missouri

Mailing address

Not researched for this route

Medical (medical necessity) appeals filed by a provider on behalf of the member with written consent, within 60 calendar days of the notice.

View source ↗ · Source checked 2026-10-25

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appeals grievances

Anthem (MO, IN) commercial grievance and appeals address

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

commercial
Missouri · Indiana

Mailing address
Anthem Blue Cross and Blue Shield Attn: Grievance and Appeals P.O. Box 105568 Atlanta, GA 30348-5568

Provider appeals

Commercial and exchange provider appeals. Online Payment Appeal tool in Availity is an alternative.

View source ↗ · Source checked 2026-10-25 · Indiana contact guide ↗

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fax appeals

Anthem Indiana Medicaid grievances and appeals fax

Official page read
Phone

No phone listed for this route

Fax

855-535-7445

Published hours

Not published in this record

Product, plan and location

medicaid
Indiana

Mailing address

Not researched for this route

Grievances and appeals fax for Hoosier Healthwise, HIP and Hoosier Care Connect (phone = each program provider services line).

View source ↗ · Source checked 2026-10-25

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appeals grievances

Anthem Indiana Medicaid provider disputes and appeals address

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

medicaid
Indiana

Mailing address
Anthem Blue Cross and Blue Shield Provider Disputes and Appeals P.O. Box 61599 Virginia Beach, VA 23466

Provider disputes and appeals

Provider disputes and appeals for HIP, Hoosier Healthwise, Hoosier Care Connect and PathWays for Aging LTSS.

View source ↗ · Source checked 2026-10-25

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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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