Provider Disputes

Contracted provider disputes are to be written to CCHCA and/or the member's applicable health plan, challenging, appealing or requesting reconsideration of a claim (or a bundled group of substantially similar multiple claims that are individually numbered). The links below contain necessary dispute resolution request form, and instructions on how to submit the request.

Please complete a Provider Dispute Resolution Request and email to: Claims@cchca.com

Provider Dispute Resolution Instructions.

Provider Dispute Resolution Request Form.

Questions or want more information about the resolution process? Please contact the Claims Department at Claims@cchca.com or call (415)216-0088 option 3, and then option 2.