If you have a question about how a claim was processed or on a precertification request denial, you can call Promise Health Provider Support at (855) 504-6363 to get more information about the determination or try to resolve the issue or obtain further clarity. In some cases, issues can be resolved by providing additional information, as requested by Promise Health Plan.
If your issues cannot be resolved informally, as a provider you have the right to appeal the determination of any denied services or claim by filing an appeal with us.
You can find information on how to proceed with an appeal on your Explanation of Provider Payment (EPP), or you can contact Promise Health Plan’s Provider Support at (855) 504-6363.
Timeframes for filing an appeal vary depending on applicable state or federal requirements.