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Claims and appeals procedures for services to HMO members

Learn about our process and procedures for submitting a claim for services provided to members in our HMO program.

      Submitting claims for services to HMO members*

Find out how to make an appeal related to a claim for services provided to members in our HMO program.

      Appealing claims for services to HMO members

Learn about the benefits of electronic claims submission for faster, more reliable claims submission.

      EDI Outreach*

      Billing Practices Reminder*

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