Florida Blue

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

Provider post-service and coding/payment rule appeals

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Florida

Mailing address
Florida Blue Provider Disputes Department P.O. Box 44232 Jacksonville, FL 32231-4232

Post-service clinical appeals and coding/payment rule appeals with the Provider Clinical Appeal Form

Post-service adverse-determination appeals must be in writing within one year of the remittance advice. The manual prints a different ZIP (32203-3237) for UM appeals to the same P.O. Box; confirm before mailing UM appeals.

View source ↗ · Source checked 2026-10-24

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appeals grievances

Provider administrative appeals

Official page read
Phone

No phone listed for this route

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Florida

Mailing address
FloridaBlue P.O. Box 1798 Jacksonville, FL 32231

Administrative appeals (claim allowance, COB, contract, timely filing) with the Provider Reconsideration/Administrative Appeal Form

Claim reprocessing requests are not appeals.

View source ↗ · Source checked 2026-10-24

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appeals grievances

BlueMedicare (Medicare Advantage) member appeals and grievances

Official page read
Phone800-926-6565Published hours

8:00 a.m.–9:00 p.m. ET

Product, plan and location

medicare advantage
Florida

Mailing address
Florida Blue Attention: Medicare Appeals & Grievances Department P.O. Box 41629 Jacksonville, FL 32203-1629

Confirm purpose before mailing

For grievances/appeals filed on a Medicare Advantage member's behalf.

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.

appeals grievances

External billing dispute and adverse determination review — MES Solutions

Official page read
Phone800-437-8583Fax

888-868-2087

Published email

info@messolutions.com

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
Florida

Mailing address

Not researched for this route

Vendor listed for adverse determination disputes and billing dispute external review.

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.

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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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