DialClerk Directory

Gold Coast Health Plan

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 disputes and grievances — written requests

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
California

Mailing address
Gold Coast Health Plan, Attn: Provider Disputes & Grievances, P.O. Box 9176, Oxnard, CA 93031

Completed provider reconsideration/dispute/grievance form as specified on the provider resources page.

The page distinguishes a previously denied/underpaid claim dispute, authorization appeal and grievance after an unsatisfactory dispute decision. Use the proper form and current notice; this is separate from original claims. County Organized Health System serving Ventura County. The website includes Medi-Cal and Total Care Advantage materials; select the correct product and delegated service. A published contact is not an eligibility or coverage determination.

View source ↗ · Source checked 2026-10-22 · gold about — reviewed role, scope or corroborating channel evidence ↗

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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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