WHAT IF I NEED TO APPEAL A CLAIM?

As a result of the Rehabilitation of UCare and in order to effectuate the efficient wind up of UCare’s business, all reconsideration, recoupment and/or appeal requests must be submitted at the HIPAA compliant link below, using this spreadsheet. Requests submitted through the provider portal or any path other than this link will not be considered. The back-end systems that captured requests through any other submission route are no longer available to the UCare team.

There is a large backlog of reconsideration, recoupment and/or appeals requests that were submitted under the legacy process. We are extracting the data from the legacy systems, so those matters can be worked. That process will take time and is not as efficient as the current process. You may include your open reconsideration, recoupment, and/or appeal inventory on your spreadsheet. If you include any open reconsideration, recoupment, and/or appeals, you need to include all of them you want to be considered, as we will remove your TIN from the legacy process.

Do not submit your open AR on this spreadsheet.