Dispute Resolution and Appeals

Provider Type

  • Physicians 
  • Hospitals
  • Ancillary

Providers have 180 days from the date a claim is adjudicated to file a dispute or appeal.

Appeals Submission

Providers may submit appeals for the following reasons:

  • The provider believes that the claim was not reimbursed at the contracting rate and additional payment is requested.
  • The provider believes the claim, or a portion of the claim, has been denied incorrectly.

Providers may submit an appeal using the California Correctional Health Care Services (CCHCS) Appeal Request form (PDF) and submit by secure email to the California Correctional Health Care Services (CCHCS) Provider Dispute Resolution Department