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 dispute resolution (PDR) mailing address

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

L.A. Care Health Plan Attention: Provider Disputes P.O. Box 811610 Los Angeles, CA 90081

Written provider disputes (first and second level). Mark second-level disputes "Second Level Dispute".

Provider payment disputes and second-level disputes go to the Provider Disputes P.O. Box. The October 2026 Universal Provider Manual describes the PDR route; L.A. Care reference guides list two different PDR fax numbers (213-438-5057 and 213-438-5793), so no fax is listed here. PDR status is not available in the portal per the Direct Network guide.

View source ↗ · Source checked 2026-10-24 · Direct Network reference guide repeats the Provider Disputes P.O. Box 811610 address ↗

Report an update

Help the next office

How did your call go?

Share a structured call experience or flag a contact correction. Submissions are reviewed before publication. Patient details, recordings and documents do not belong here.

Share a call experience

Contact you calledWhen you called (your local time)

Minutes until a person answered / you stopped waitingOutcome

Call experienceThis is my call experience. It contains no patient information and may be included in anonymous, moderated statistics. Privacy notice.

Suggest a contact correction

Suggest a correction

Contact to correctWhat needs correcting?Proposed public informationOfficial page that supports the correctionThis is public organization information only. I have not included patient, member, claim or private contact details. Privacy notice.

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.

For healthcare offices

Found the contact. Still need to make the call?

Explore how DialClerk organizes the brief, hold time and staff handoff for your next administrative call.

For the people making the calls

Put payer follow-up
on your office’s worklist.

Explore DialClerk for queued calls, hold handling, staff handoffs and a record of the next step. Tell us how your team works.

A request does not create an account or start a call. Use business contact information only. No patient information.