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Claims Submissions and Disputes - Simply Healthcare …
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Provider Appeal Request Form
WebbMedicare Advantage 1-844-405-4297. Enrollment status: select 1. Claims status: select 2. Prior authorizations: select 3. Other inquiries: select 4. Long-Term Care 1-877-440-3738. … WebbEnsure that the details you fill in Simply Healthcare Grievance and Appeal Form is updated and correct. Add the date to the template using the Date tool. Select the Sign button and … WebbSend it to us by fax: 1-315-671-6656 Send it to us in writing: Excellus BlueCross BlueShield Customer Advocacy Unit PO Box 4717 Syracuse, New York 13221 Send it to us by Email: Submit a Grievance via Secure eForm Register your Grievance in person: Please call Customer Service for information on filing your grievance in person. granted an injunction