
Get Provider Appeal Request Form Pdf - Peach State Health Plan
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There are two ways to file an appeal: Write and ask to appeal. Mail the appeal request and all medical information to: Peach State Health Plan. Grievance & Appeals Coordinator. 1100 Circle 75 Pkwy. Suite 1100. Atlanta, GA 30339. 1-866-532-8855 Fax. Call Peach State toll free at 1-800-704-1484, TTY/TDD 1-800-255-0056.
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