Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.
appeals grievances
Provider claims disputes and appeals
Official page read
Phone
No phone listed for this route
Fax
855-864-7385
Published hours
Not published in this record
Product, plan and location
Confirm the exact product or service New York
Mailing addressVillageCareMAX Claims, PO Box 3238, Scranton, PA 18505
Provider claims disputes and appeals.
This is the claims dispute/appeal fax, not the general Member Services fax. Nonparticipating providers must follow the plan’s waiver-of-liability requirements. New York health-plan administration. Confirm the member’s VillageCareMAX product and eligibility; the discontinued Medicare Health Advantage FLEX product is not presented as current.
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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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