Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.
appeals grievances
Provider disputes — commercial and Medi-Cal (Claims Research Resolution Unit)
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Phone
No phone listed for this route
Published hours
Not published in this record
Product, plan and location
commercial · medicaid California
Mailing addressHill Physicians
Attention: Claims Research Resolution Unit
P.O. Box 5080
San Ramon, CA 94583-0980
Commercial and Medi-Cal provider disputes.
Written provider disputes (denied/adjusted claims, contract rate conflicts, overpayment recovery) on the Hill Provider Dispute Resolution form; routine follow-ups use the Claims Follow-Up Form. Inquiries: Hill Customer Service 800-445-5747. Hill issues a determination within 45 working days.
Mailing addressHill Physicians Medical Group
2613 Camino Ramon
San Ramon, CA 94583
Written CMS non-par payment disputes.
Non-contracted/deemed providers dispute Medicare Advantage payments by phone through Customer Service (800-445-5747 or 925-820-8300) or in writing to this address; second-level independent review goes to C2C Solutions.
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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
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