Providers can appeal a claim payment or denial by submitting a letter to the medical and dental claims administrator at the address designated for appeals and provider inquiries within one year of the date on the first notice of the adverse determination.
Network providers can request a second level appeal if the initial appeal is upheld and the network provider has additional information to submit for review. Submit a letter requesting another appeal of the claim to the medical and dental claims administrator at the address that follows for appeals and provider inquires.
Second level appeals are available only to participating network providers.
Appeals and Provider Inquiries
P.O. Box 3897
Little Rock, AR 72203-3897