Claim Appeals for Non-Participating Providers
Non-Participating providers may submit a Claim Appeal within sixty (60) calendar days from the date of the corresponding Remittance Advice. Claim Appeals submitted past sixty (60) days from the date of the corresponding Remittance Advice will be considered a late filing and may be dismissed if good cause is not established.
Supporting documentation must include a signed waiver of liability (WoL) as required by the Centers for Medicare and Medicaid Services (CMS), the Remittance Advice and medical records.
Claim Appeals can also be mailed to:
Doctors HealthCare Plans, Inc.
Attn: Grievances & Appeals Unit
2020 Ponce de Leon Blvd., PH 1
Coral Gables, FL 33134
Last Updated: 03/22/2021