HealthSpring (Health Care Service Corporation)

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

Part C appeals questions and standard medical appeals

Official page read
Phone800-511-6943Published hours

Not published in this record

Product, plan and location

medicare advantage
National contact — confirm product and location

Mailing address
HealthSpring Medicare Advantage Appeals PO Box 650059 Dallas, TX 75265

Standard medical (Part C) appeals.

HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets. Standard appeal fax withheld: the manual lists 855-350-8671 but the HealthSpring contact-us web page displays a different fax (1-800-931-0149) for appeals.

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

Participating provider post-service appeals and claim disputes

Official page read
Phone

No phone listed for this route

Fax

855-699-8985

Published hours

Not published in this record

Product, plan and location

medicare advantage
National contact — confirm product and location

Mailing address
HealthSpring Appeals PO Box 650065 Dallas, TX 75265

Participating provider post-service appeals and medical necessity claim disputes.

HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets. Use the postservice appeal and claim dispute form from the HealthSpring website.

View source ↗ · Source checked 2026-10-24

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fax appeals

Expedited medical appeals

Official page read
Phone

No phone listed for this route

Fax

855-350-8672

Published hours

Not published in this record

Product, plan and location

medicare advantage
National contact — confirm product and location

Mailing address
HealthSpring Medicare Advantage Appeals PO Box 650058 Dallas, TX 75265

Expedited medical appeals.

HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets.

View source ↗ · Source checked 2026-10-24

Report an update

appeals grievances

Part D appeals

Official page read
Phone866-845-6962Fax

866-593-4482

Published hours

Not published in this record

Product, plan and location

medicare part d · medicare advantage
National contact — confirm product and location

Mailing address

Not researched for this route

HealthSpring (Health Care Service Corporation) Medicare Advantage, 2026 participating provider manual. Multi-state, including Central, North and South Florida markets.

View source ↗ · Source checked 2026-10-24

Report an update
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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