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PROVIDER GRIEVANCE & APPEALS FORM This form is to be used to submit complaints related to legal disputes, a complaint against a member, or if unsatisfied with the outcome of a previously filed claim.
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Spreadsheet FAQ
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Payer Name: Western Mutual Insurance.
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Payer Name: Gold Coast|Payer ID: 77160|Professional (CMS 1500)
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For more information concerning authorizations, Providers can call GCHP at 1.888. 301.1228.
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Payer Name: S & S Healthcare Strategies.
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The payer ID is generally five (5) characters but it may be longer. It may also be alpha, numeric or a combination. The payer ID is often located on the back of the insurance card in the Provider or Claims Submission section.
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CLAIM.MD | Payer Information | Alameda Alliance for Health.
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