Dispute Claim Form For Patients In Alameda

State:
Multi-State
County:
Alameda
Control #:
US-00435BG
Format:
Word; 
Rich Text
Instant download

Description

The parties may agree to a different performance. This is called an accord. When the accord is performed, this is called an accord and satisfaction. The original obligation is discharged. In order for there to be an accord and satisfaction, there must be a bona fide dispute; an agreement to settle the dispute; and the performance of the agreement. An example would be settlement of a lawsuit for breach of contract. The parties might settle for less than the amount called for under the contract.

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FAQ

You should contact the Compliance Department promptly by one of the following methods: Send an email via AHS global address “Compliance AHS” • Call the Compliance Department at 510-535-7788; or • Call the Compliance Hotline 844-310-0005, including reporting concerns anonymously.

For any questions or information regarding Medi-Cal health plans, visit or call a Health Care Options (HCO) representative at 1-800-430-4263.

For provider enrollment information visit our website at .alamedasocialservices and follow the directions for the Provider Enrollment Process, or call (510) 577-1877.

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Dispute Claim Form For Patients In Alameda