DialClerk Directory

Santé Physicians

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

Commercial and Medicare Advantage provider disputes

Official page read
Phone

No phone listed for this route

Fax

559-224-2672

Published hours

Not published in this record

Product, plan and location

commercial · medicare advantage
California

Mailing address
Santé Customer Service/Appeals, P.O. Box 792, Fresno, CA 93712

Provider dispute resolution requests for commercial and Medicare Advantage claims; not original claims.

Operations pages 23–24 distinguish provider disputes from original claims. Page 24 fax/address visually reviewed. The current document also offers the QuickCap PDR module. Filing deadlines must be checked against the applicable notice. Physician-owned California IPA administered by Santé Health System. The current site describes its network in Fresno, Madera and Kings counties. HMO delegation and individual plan/physician participation require confirmation; Santé is not the insurance carrier.

View source ↗ · Source checked 2026-10-22 · sante org — reviewed role, scope or corroborating channel evidence ↗ · sante manual — reviewed role, scope or corroborating channel evidence ↗ · sante home — 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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