Appeals, Grievances and Disputes

Provider Type

Physicians
Participating Physician Groups (PPG)
(does not apply to HSP)

Hospitals
Ancillary

This section describes initial organization determinations, member and provider appeals, dispute resolution processes, and peer-to-peer review requests.

Select any subject below:

Member Appeals
Provider Appeals and Dispute Resolution
Grievances
Peer-to-Peer Review Requests