Common use of Reconsideration Process Clause in Contracts

Reconsideration Process. The provider reconsideration process allows a provider to dispute a claim payment determination prior to requesting an appeal, but is not required prior to the submission of an appeal. If you need help filing a reconsideration, call Provider Services at ▇-▇▇▇-▇▇▇-▇▇▇▇ (TDD/TTY: 711). To file a reconsideration- In writing: Complete the claim reconsideration form found at ▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ and mail to United Healthcare Community Plan PO Box 5270 Kingston, NY 12401 By telephone (toll-free): ▇-▇▇▇-▇▇▇-▇▇▇▇ (During business hours 8am – 5pm CST) Or Electronically: Using the claimLINK Self-Service Tool at ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Reconsideration requests must be submitted within one hundred twenty (120) calendar days from the remittance date (plus three (3) calendar days is allowed for mailing time). You should submit a fully completed claims reconsideration request form and all supporting documentation. Please do not send a claim or claim copy with your reconsideration request. If you send a claim or claim copy with the reconsideration, the reconsiderations team cannot accept it and will return it to you. If you disagree with a claim adjustment or our decision not to make a claim adjustment, you can file a formal appeal.

Reconsideration Process. The provider reconsideration process allows a provider to dispute a claim payment determination prior to requesting an appeal, but is not required prior to the submission of an appeal. If you need help filing a reconsideration, call Provider Services at ▇-▇▇▇-▇▇▇-▇▇▇▇ (TDD/TTY: 711). To file a reconsideration- In writing: Complete the claim reconsideration form found at ▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ and mail to United Healthcare UnitedHealthcare Community Plan PO Box 5270 Kingston, NY 12401 By telephone (toll-free): ▇-▇▇▇-▇▇▇-▇▇▇▇ (During business hours 8am – 5pm CST) Or Electronically: Using the claimLINK Self-Service Tool at ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ Reconsideration requests must be submitted within one hundred twenty twenty-three (120123) calendar days from the remittance date (plus three (3) calendar days is allowed for mailing time)date. You should submit a fully completed claims reconsideration request form and all supporting documentation. Please do not send a claim or claim copy with your reconsideration request. If you send a claim or claim copy with the reconsideration, the reconsiderations team cannot accept it and will return it to you. If you disagree with a claim adjustment or our decision not to make a claim adjustment, you can file a formal appeal.