Managed Care
Provider Information — Claims
- Claims Submission and Provider Dispute Instructions (PDF)
- Provider Dispute Request Form (PDF)
- Medicare Advantage Non-Contracted Provider Payment Dispute Instructions (PDF)
- Medicare Advantage Non-Contracted Provider Appeals Instructions (PDF)
- Medicare Advantage Waiver of Liability form (PDF)
- Medi-Cal Claim Submission and Provider Dispute Instructions (PDF)
- Explanation of Payment (EOP) Provider Remittance Advise (PRA) Remittance Advise (RA) (PDF)
- Physician Connect
- Physician Connect — How to Guide (PDF)