If a claims issue remains unresolved,
providers may submit an appeal, within 60 days of receiving the initial
denial notification, in writing to CareGuide. The appeal will be investigated
and a determination made within 30 days of receipt. Questions concerning
claims and appeals should be directed to the Claims Appeal Coordinator
at (888)721-9797, extension 63713.
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Provider's name, address and
telephone number |
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The patient's name, identification number
and date(s) of service, and type of service |
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A written summary of the facts surrounding
the appeal, including a description of all efforts by the provider
to resolve the issue |
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A description of the desired resolution |
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A copy of the claim and EOB |
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Coordinated Care Solutions d.b.a. CareGuide
ATTN: Appeals Department
4401 NW 124th Avenue
Coral Springs, Florida 33065 |
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