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 — California mailing address

Official page read

Phone310-965-1100

Routine claim follow-up (Optum Customer Service).

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
California

Mailing address

Optum Care Network P.O. Box 8059 Torrance, CA 90504

Completed California provider dispute resolution request form.

California provider dispute resolution request form hosted on optum.com (form marking '6-12'; publication date not otherwise stated). For routine claim follow-up, the form directs providers to Optum Customer Service at 310-965-1100. Confirm current routing for the specific Optum California network (Monarch, AppleCare, etc.).

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

San Diego Physicians Medical Group (OCN-SDPMG) — provider disputes

Official page read

Phone858-824-7000Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
California

Mailing address

Optum Care Network - SDPMG c/o SCPMCS Attn: Provider Disputes P.O. Box 7250 La Verne, CA 91750

Provider disputes (commercial/Medi-Cal), within 365 days.

AB1455 dispute resolution notice dated 04/28/2025 (the notice spells the city 'Laverne'). Phone for status of a dispute or how to file.

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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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?
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