Appealing Processed Claims

If a provider has questions about how a claim was processed, how it was paid, or why it was not paid, he or she may ask that the claim be reviewed. Requests for review must be made within one year of the provider's receipt of HMSA's original decision to deny or pay the claim. Below are options available to providers if they would like their claim reviewed.

• Physician Appeals
• Non-physician Appeals
• Medicare Advantage Provider Appeals

Other Links

• HMSA Akamai Advantage® Non-Contracted Provider Appeals
• HMSA Akamai Advantage Frequently Asked Questions (FAQs) [PDF]
• Akamai Advantage Non-Contracted Provider Appeal and Payment Dispute Request Form [PDF]
• Akamai Advantage Non-Contracted Provider Waiver of Liability Statement [PDF]

Revision History