Colleague, do you know where to send your appeals
Colleague, learn more about submitting an appeal
August 25, 2017 -
What is an appeal?
An appeal is a formal written request to the plan for reconsideration of a medical or contractual adverse decision and must be submitted on the provider’s letterhead. Do not use a Provider Inquiry Resolution Form (PIRF) for submitting an appeal.
Appeals should be sent to the following address:
Professional Providers |
Institutional Providers |
Submit medical documentation to assist with the appeal
For more information visit the Inquiries and Appeals section of the CareFirst website.