1 |
2019 |
California Health and Wellness Plan |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2019 |
California Health and Wellness Plan |
Hospital/Institutional |
Claims Payment Dispute |
68 |
1 |
2019 |
California Health and Wellness Plan |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2019 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2019 |
California Physicians' Service |
Ambulance |
Claims Payment Dispute |
3 |
1 |
2019 |
California Physicians' Service |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2019 |
California Physicians' Service |
Family/General Practice |
Claims Payment Dispute |
1 |
1 |
2019 |
California Physicians' Service |
Family/General Practice |
Overpayment/Refund Request |
1 |
1 |
2019 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
19 |
1 |
2019 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
1 |
2019 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
6 |
1 |
2019 |
California Physicians' Service |
On Call Physicians (Not ER) |
Claims Payment Dispute |
1 |
1 |
2019 |
California Physicians' Service |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
1 |
2019 |
California Physicians' Service |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
1 |
2019 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
12 |
1 |
2019 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2019 |
California Physicians' Service |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
1 |
2019 |
Carelon Health of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2019 |
Cigna HealthCare of California, Inc. |
Ambulance |
Dispute Resolution Problems |
1 |
1 |
2019 |
Cigna HealthCare of California, Inc. |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2019 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
18 |
1 |
2019 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2019 |
Cigna HealthCare of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
1 |
2019 |
Cigna HealthCare of California, Inc. |
Other Specialist Providers |
Non-Contracted Providers |
2 |
1 |
2019 |
Cigna HealthCare of California, Inc. |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
6 |
1 |
2019 |
Community Health Group |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2019 |
Community Health Group |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2019 |
Contra Costa County Medical Services |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2019 |
County of Ventura |
Durable Medical Equipment |
Claims Payment Dispute |
9 |
1 |
2019 |
County of Ventura |
Durable Medical Equipment |
Dispute Resolution Problems |
6 |
2 |
2019 |
California Health and Wellness Plan |
Ambulance |
Claims Payment Dispute |
41 |
2 |
2019 |
California Health and Wellness Plan |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
2 |
2019 |
California Health and Wellness Plan |
Hospital/Institutional |
Claims Payment Dispute |
2 |
2 |
2019 |
California Health and Wellness Plan |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
2 |
2019 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
6 |
2 |
2019 |
California Health and Wellness Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2019 |
California Physicians' Service |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2019 |
California Physicians' Service |
Ambulance |
Non-Contracted Providers |
1 |
2 |
2019 |
California Physicians' Service |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
2 |
2019 |
California Physicians' Service |
Family/General Practice |
Overpayment/Refund Request |
2 |
2 |
2019 |
California Physicians' Service |
Home Health Services |
Claims Payment Dispute |
5 |
2 |
2019 |
California Physicians' Service |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2019 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
12 |
2 |
2019 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
2 |
2019 |
California Physicians' Service |
Internal Medicine |
Claims Payment Dispute |
2 |
2 |
2019 |
California Physicians' Service |
Internal Medicine |
Dispute Resolution Problems |
1 |
2 |
2019 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
9 |
2 |
2019 |
California Physicians' Service |
OB/GYN |
Claims Payment Dispute |
3 |
2 |
2019 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
23 |
2 |
2019 |
California Physicians' Service |
Other Specialist Providers |
Non-Contracted Providers |
5 |
2 |
2019 |
Carelon Behavioral Health of California, Inc. |
Mental Health |
Claims Payment Dispute |
10 |
2 |
2019 |
Carelon Behavioral Health of California, Inc. |
Mental Health |
Contractual Issues |
9 |
2 |
2019 |
Carelon Behavioral Health of California, Inc. |
Mental Health |
Dispute Resolution Problems |
9 |
2 |
2019 |
Cigna Dental Health of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2019 |
Cigna Dental Health of California, Inc. |
Hospital/Institutional |
Other |
1 |
2 |
2019 |
Cigna HealthCare of California, Inc. |
Ambulance |
Non-Contracted Providers |
1 |
2 |
2019 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
5 |
2 |
2019 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Other |
1 |
2 |
2019 |
Cigna HealthCare of California, Inc. |
OB/GYN |
Claims Payment Dispute |
1 |
2 |
2019 |
Cigna HealthCare of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2019 |
Community Health Group |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2019 |
Contra Costa County Medical Services |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2019 |
California Health and Wellness Plan |
Ambulance |
Claims Payment Dispute |
50 |
3 |
2019 |
California Health and Wellness Plan |
Ambulance |
Dispute Resolution Problems |
1 |
3 |
2019 |
California Health and Wellness Plan |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
3 |
2019 |
California Health and Wellness Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
3 |
2019 |
California Health and Wellness Plan |
Durable Medical Equipment |
Non-Contracted Providers |
1 |
3 |
2019 |
California Health and Wellness Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2019 |
California Health and Wellness Plan |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
3 |
2019 |
California Health and Wellness Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2019 |
California Health and Wellness Plan |
Pharmacy |
Claims Payment Dispute |
2 |
3 |
2019 |
California Physicians' Service |
Family/General Practice |
Claims Payment Dispute |
1 |
3 |
2019 |
California Physicians' Service |
Home Health Services |
Claims Payment Dispute |
9 |
3 |
2019 |
California Physicians' Service |
Hospital-Based Physician |
Other |
1 |
3 |
2019 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
13 |
3 |
2019 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
5 |
3 |
2019 |
California Physicians' Service |
Hospital/Institutional |
Other |
1 |
3 |
2019 |
California Physicians' Service |
Internal Medicine |
Claims Payment Dispute |
2 |
3 |
2019 |
California Physicians' Service |
Laboratory Services |
Claims Payment Dispute |
1 |
3 |
2019 |
California Physicians' Service |
Laboratory Services |
Non-Contracted Providers |
1 |
3 |
2019 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
31 |
3 |
2019 |
California Physicians' Service |
On Call Physicians (Not ER) |
Non-Contracted Providers |
15 |
3 |
2019 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
77 |
3 |
2019 |
California Physicians' Service |
Other Specialist Providers |
Non-Contracted Providers |
1 |
3 |
2019 |
California Physicians' Service |
Other Specialist Providers |
Other |
8 |
3 |
2019 |
California Physicians' Service |
Other Specialist Providers |
Unknown |
1 |
3 |
2019 |
California Physicians' Service |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
3 |
2019 |
Carelon Health of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2019 |
CHG Foundation |
Ambulance |
Dispute Resolution Problems |
2 |
3 |
2019 |
Cigna HealthCare of California, Inc. |
Ambulance |
Non-Contracted Providers |
4 |
3 |
2019 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
3 |
3 |
2019 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
3 |
2019 |
Cigna HealthCare of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
3 |
2019 |
Community Health Group |
Ambulance |
Non-Contracted Providers |
1 |
3 |
2019 |
Community Health Group |
Pharmacy |
Claims Payment Dispute |
2 |
4 |
2019 |
California Health and Wellness Plan |
Ambulance |
Claims Payment Dispute |
10 |
4 |
2019 |
California Health and Wellness Plan |
Durable Medical Equipment |
Non-Contracted Providers |
19 |
4 |
2019 |
California Health and Wellness Plan |
Hospital/Institutional |
Claims Payment Dispute |
3 |
4 |
2019 |
California Health and Wellness Plan |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2019 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
4 |
2019 |
California Health and Wellness Plan |
Other Specialist Providers |
Claims Payment Dispute |
2 |
4 |
2019 |
California Health and Wellness Plan |
Other Specialist Providers |
Other |
1 |
4 |
2019 |
California Physicians' Service |
Ambulance |
Claims Payment Dispute |
2 |
4 |
2019 |
California Physicians' Service |
Ambulance |
Unknown |
1 |
4 |
2019 |
California Physicians' Service |
Anesthesiology |
Claims Payment Dispute |
1 |
4 |
2019 |
California Physicians' Service |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
4 |
2019 |
California Physicians' Service |
Home Health Services |
Claims Payment Dispute |
2 |
4 |
2019 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
4 |
4 |
2019 |
California Physicians' Service |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2019 |
California Physicians' Service |
Internal Medicine |
Claims Payment Dispute |
4 |
4 |
2019 |
California Physicians' Service |
Laboratory Services |
Claims Payment Dispute |
1 |
4 |
2019 |
California Physicians' Service |
Laboratory Services |
Non-Contracted Providers |
2 |
4 |
2019 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
12 |
4 |
2019 |
California Physicians' Service |
Mental Health |
Dispute Resolution Problems |
1 |
4 |
2019 |
California Physicians' Service |
OB/GYN |
Claims Payment Dispute |
2 |
4 |
2019 |
California Physicians' Service |
OB/GYN |
Dispute Resolution Problems |
1 |
4 |
2019 |
California Physicians' Service |
On Call Physicians (Not ER) |
Non-Contracted Providers |
55 |
4 |
2019 |
California Physicians' Service |
On Call Physicians (Not ER) |
Unknown |
2 |
4 |
2019 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
12 |
4 |
2019 |
California Physicians' Service |
Other Specialist Providers |
Non-Contracted Providers |
2 |
4 |
2019 |
California Physicians' Service |
Other Specialist Providers |
Other |
1 |
4 |
2019 |
California Physicians' Service |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
4 |
2019 |
California Physicians' Service |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
4 |
2019 |
Carelon Behavioral Health of California, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2019 |
Cigna HealthCare of California, Inc. |
Ambulance |
Non-Contracted Providers |
1 |
4 |
2019 |
Cigna HealthCare of California, Inc. |
Anesthesiology |
Claims Payment Dispute |
1 |
4 |
2019 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
4 |
2019 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Unknown |
3 |
4 |
2019 |
Cigna HealthCare of California, Inc. |
OB/GYN |
Claims Payment Dispute |
2 |
4 |
2019 |
Cigna HealthCare of California, Inc. |
Other Specialist Providers |
Non-Contracted Providers |
4 |
4 |
2019 |
Contra Costa County Medical Services |
Hospital/Institutional |
Claims Payment Dispute |
5 |
4 |
2019 |
Contra Costa County Medical Services |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
4 |
2019 |
County of Ventura |
Pediatrics |
Claims Payment Dispute |
1 |
4 |
2019 |
County of Ventura |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
1 |
2020 |
California Health and Wellness Plan |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2020 |
California Health and Wellness Plan |
Durable Medical Equipment |
Non-Contracted Providers |
3 |
1 |
2020 |
California Health and Wellness Plan |
Durable Medical Equipment |
Overpayment/Refund Request |
1 |
1 |
2020 |
California Health and Wellness Plan |
Hospital/Institutional |
Claims Payment Dispute |
11 |
1 |
2020 |
California Health and Wellness Plan |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2020 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2020 |
California Health and Wellness Plan |
Other Specialist Providers |
Claims Payment Dispute |
2 |
1 |
2020 |
California Health and Wellness Plan |
Other Specialist Providers |
Contractual Issues |
11 |
1 |
2020 |
California Physicians' Service |
Ambulance |
Dispute Resolution Problems |
291 |
1 |
2020 |
California Physicians' Service |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2020 |
California Physicians' Service |
Ambulance |
Other |
1 |
1 |
2020 |
California Physicians' Service |
Home Health Services |
Claims Payment Dispute |
1 |
1 |
2020 |
California Physicians' Service |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
1 |
2020 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
32 |
1 |
2020 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
1 |
2020 |
California Physicians' Service |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2020 |
California Physicians' Service |
Internal Medicine |
Claims Payment Dispute |
6 |
1 |
2020 |
California Physicians' Service |
Laboratory Services |
Claims Payment Dispute |
8 |
1 |
2020 |
California Physicians' Service |
Laboratory Services |
Dispute Resolution Problems |
1 |
1 |
2020 |
California Physicians' Service |
Laboratory Services |
Non-Contracted Providers |
2 |
1 |
2020 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
49 |
1 |
2020 |
California Physicians' Service |
Mental Health |
Overpayment/Refund Request |
1 |
1 |
2020 |
California Physicians' Service |
OB/GYN |
Claims Payment Dispute |
1 |
1 |
2020 |
California Physicians' Service |
On Call Physicians (Not ER) |
Non-Contracted Providers |
34 |
1 |
2020 |
California Physicians' Service |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
1 |
2020 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
6 |
1 |
2020 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2020 |
California Physicians' Service |
Other Specialist Providers |
Other |
2 |
1 |
2020 |
California Physicians' Service |
Pediatrics |
Claims Payment Dispute |
2 |
1 |
2020 |
California Physicians' Service |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
1 |
1 |
2020 |
Carelon Health of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2020 |
Central Health Plan of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2020 |
Cigna HealthCare of California, Inc. |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2020 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
5 |
1 |
2020 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2020 |
Cigna HealthCare of California, Inc. |
Laboratory Services |
Non-Contracted Providers |
1 |
1 |
2020 |
Cigna HealthCare of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2020 |
Cigna HealthCare of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2020 |
Community Family Care Health Plan, Inc. |
Internal Medicine |
Claims Payment Dispute |
3 |
1 |
2020 |
Community Family Care Health Plan, Inc. |
Internal Medicine |
Contractual Issues |
1 |
2 |
2020 |
California Health and Wellness Plan |
Hospital/Institutional |
Claims Payment Dispute |
6 |
2 |
2020 |
California Health and Wellness Plan |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2020 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
2 |
2020 |
California Health and Wellness Plan |
Other Specialist Providers |
Claims Payment Dispute |
4 |
2 |
2020 |
California Physicians' Service |
Ambulance |
Dispute Resolution Problems |
1 |
2 |
2020 |
California Physicians' Service |
Ambulance |
Non-Contracted Providers |
2 |
2 |
2020 |
California Physicians' Service |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2020 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
18 |
2 |
2020 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2020 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
4 |
2 |
2020 |
California Physicians' Service |
Mental Health |
Other |
2 |
2 |
2020 |
California Physicians' Service |
OB/GYN |
Claims Payment Dispute |
1 |
2 |
2020 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
5 |
2 |
2020 |
California Physicians' Service |
Other Specialist Providers |
Contractual Issues |
2 |
2 |
2020 |
California Physicians' Service |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
3 |
2 |
2020 |
Carelon Health of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
14 |
2 |
2020 |
CCA Health Plans of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
2 |
2020 |
Cigna HealthCare of California, Inc. |
Home Health Services |
Claims Payment Dispute |
1 |
2 |
2020 |
Cigna HealthCare of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
2 |
2020 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
4 |
2 |
2020 |
Cigna HealthCare of California, Inc. |
OB/GYN |
Claims Payment Dispute |
1 |
2 |
2020 |
Cigna HealthCare of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
4 |
2 |
2020 |
Cigna HealthCare of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2020 |
California Health and Wellness Plan |
Durable Medical Equipment |
Claims Payment Dispute |
6 |
3 |
2020 |
California Health and Wellness Plan |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2020 |
California Health and Wellness Plan |
Hospital/Institutional |
Claims Payment Dispute |
22 |
3 |
2020 |
California Health and Wellness Plan |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
3 |
2020 |
California Health and Wellness Plan |
Hospital/Institutional |
Other |
1 |
3 |
2020 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
3 |
2020 |
California Health and Wellness Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2020 |
California Health and Wellness Plan |
Pediatrics |
Contractual Issues |
15 |
3 |
2020 |
California Physicians' Service |
Ambulance |
Claims Payment Dispute |
25 |
3 |
2020 |
California Physicians' Service |
Ambulance |
Dispute Resolution Problems |
427 |
3 |
2020 |
California Physicians' Service |
Ambulance |
Non-Contracted Providers |
4 |
3 |
2020 |
California Physicians' Service |
Anesthesiology |
Claims Payment Dispute |
6 |
3 |
2020 |
California Physicians' Service |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
3 |
2020 |
California Physicians' Service |
Hospital-Based Physician |
Claims Payment Dispute |
7 |
3 |
2020 |
California Physicians' Service |
Hospital-Based Physician |
Dispute Resolution Problems |
4 |
3 |
2020 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
23 |
3 |
2020 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
3 |
2020 |
California Physicians' Service |
Hospital/Institutional |
Non-Contracted Providers |
6 |
3 |
2020 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
43 |
3 |
2020 |
California Physicians' Service |
Mental Health |
Dispute Resolution Problems |
1 |
3 |
2020 |
California Physicians' Service |
Mental Health |
Non-Contracted Providers |
1 |
3 |
2020 |
California Physicians' Service |
Mental Health |
Other |
8 |
3 |
2020 |
California Physicians' Service |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
3 |
2020 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
19 |
3 |
2020 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
5 |
3 |
2020 |
California Physicians' Service |
Other Specialist Providers |
Non-Contracted Providers |
2 |
3 |
2020 |
California Physicians' Service |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
3 |
2020 |
California Physicians' Service |
Skilled Nursing Facility |
Overpayment/Refund Request |
1 |
3 |
2020 |
Carelon Behavioral Health of California, Inc. |
Mental Health |
Claims Payment Dispute |
5 |
3 |
2020 |
Central Health Plan of California, Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
3 |
2020 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
8 |
3 |
2020 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
3 |
2020 |
Cigna HealthCare of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
3 |
3 |
2020 |
Community Health Group |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2020 |
County of Ventura |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2020 |
California Health and Wellness Plan |
ER Physician |
Dispute Resolution Problems |
7 |
4 |
2020 |
California Health and Wellness Plan |
Hospital-Based Physician |
Dispute Resolution Problems |
14 |
4 |
2020 |
California Health and Wellness Plan |
Hospital/Institutional |
Claims Payment Dispute |
21 |
4 |
2020 |
California Health and Wellness Plan |
Hospital/Institutional |
Dispute Resolution Problems |
7 |
4 |
2020 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
4 |
2020 |
California Health and Wellness Plan |
Pediatrics |
Contractual Issues |
6 |
4 |
2020 |
California Health and Wellness Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
5 |
4 |
2020 |
California Physicians' Service |
Ambulance |
Claims Payment Dispute |
2 |
4 |
2020 |
California Physicians' Service |
Ambulance |
Contractual Issues |
1 |
4 |
2020 |
California Physicians' Service |
Ambulance |
Dispute Resolution Problems |
4 |
4 |
2020 |
California Physicians' Service |
Ambulance |
Unknown |
1 |
4 |
2020 |
California Physicians' Service |
Family/General Practice |
Claims Payment Dispute |
1 |
4 |
2020 |
California Physicians' Service |
Home Health Services |
Claims Payment Dispute |
1 |
4 |
2020 |
California Physicians' Service |
Hospital-Based Physician |
Non-Contracted Providers |
2 |
4 |
2020 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
18 |
4 |
2020 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
4 |
2020 |
California Physicians' Service |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2020 |
California Physicians' Service |
Hospital/Institutional |
Other |
2 |
4 |
2020 |
California Physicians' Service |
Internal Medicine |
Claims Payment Dispute |
1 |
4 |
2020 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
5 |
4 |
2020 |
California Physicians' Service |
Mental Health |
Non-Contracted Providers |
1 |
4 |
2020 |
California Physicians' Service |
OB/GYN |
Claims Payment Dispute |
1 |
4 |
2020 |
California Physicians' Service |
OB/GYN |
Dispute Resolution Problems |
1 |
4 |
2020 |
California Physicians' Service |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
4 |
2020 |
California Physicians' Service |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
4 |
2020 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
7 |
4 |
2020 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
4 |
4 |
2020 |
California Physicians' Service |
Pediatrics |
Claims Payment Dispute |
1 |
4 |
2020 |
Cigna HealthCare of California, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2020 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
3 |
4 |
2020 |
Community Health Group |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2020 |
Community Health Group |
Durable Medical Equipment |
Dispute Resolution Problems |
2 |
4 |
2020 |
Contra Costa County Medical Services |
Durable Medical Equipment |
Dispute Resolution Problems |
5 |
4 |
2020 |
Contra Costa County Medical Services |
Home Health Services |
Claims Payment Dispute |
1 |
4 |
2020 |
Contra Costa County Medical Services |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2020 |
Contra Costa County Medical Services |
Other Specialist Providers |
Claims Payment Dispute |
6 |
1 |
2021 |
California Dental Network, Inc. |
Dental |
Claims Payment Dispute |
2 |
1 |
2021 |
California Health and Wellness Plan |
Durable Medical Equipment |
Non-Contracted Providers |
19 |
1 |
2021 |
California Health and Wellness Plan |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
1 |
2021 |
California Health and Wellness Plan |
Hospital-Based Physician |
Dispute Resolution Problems |
2 |
1 |
2021 |
California Health and Wellness Plan |
Hospital-Based Physician |
Other |
1 |
1 |
2021 |
California Health and Wellness Plan |
Hospital/Institutional |
Claims Payment Dispute |
136 |
1 |
2021 |
California Health and Wellness Plan |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2021 |
California Health and Wellness Plan |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2021 |
California Health and Wellness Plan |
OB/GYN |
Claims Payment Dispute |
2 |
1 |
2021 |
California Health and Wellness Plan |
OB/GYN |
Dispute Resolution Problems |
3 |
1 |
2021 |
California Health and Wellness Plan |
Other Specialist Providers |
Claims Payment Dispute |
2 |
1 |
2021 |
California Health and Wellness Plan |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
1 |
2021 |
California Health and Wellness Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2021 |
California Physicians' Service |
Family/General Practice |
Claims Payment Dispute |
1 |
1 |
2021 |
California Physicians' Service |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
1 |
2021 |
California Physicians' Service |
Hospital-Based Physician |
Non-Contracted Providers |
1 |
1 |
2021 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
22 |
1 |
2021 |
California Physicians' Service |
Hospital/Institutional |
Other |
2 |
1 |
2021 |
California Physicians' Service |
Internal Medicine |
Non-Contracted Providers |
2 |
1 |
2021 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
2 |
1 |
2021 |
California Physicians' Service |
Mental Health |
Non-Contracted Providers |
1 |
1 |
2021 |
California Physicians' Service |
OB/GYN |
Claims Payment Dispute |
1 |
1 |
2021 |
California Physicians' Service |
OB/GYN |
Dispute Resolution Problems |
1 |
1 |
2021 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
8 |
1 |
2021 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
10 |
1 |
2021 |
California Physicians' Service |
Other Specialist Providers |
Non-Contracted Providers |
1 |
1 |
2021 |
California Physicians' Service |
Pharmacy |
Claims Payment Dispute |
7 |
1 |
2021 |
California Physicians' Service |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
7 |
1 |
2021 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
7 |
1 |
2021 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2021 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Other |
1 |
1 |
2021 |
Cigna HealthCare of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2021 |
Community Health Group |
Hospital/Institutional |
Claims Payment Dispute |
2 |
2 |
2021 |
California Health and Wellness Plan |
Ambulance |
Claims Payment Dispute |
63 |
2 |
2021 |
California Health and Wellness Plan |
ER Physician |
Dispute Resolution Problems |
4 |
2 |
2021 |
California Health and Wellness Plan |
Hospital/Institutional |
Claims Payment Dispute |
225 |
2 |
2021 |
California Health and Wellness Plan |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2021 |
California Health and Wellness Plan |
OB/GYN |
Dispute Resolution Problems |
1 |
2 |
2021 |
California Health and Wellness Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
2 |
2021 |
California Physicians' Service |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2021 |
California Physicians' Service |
Family/General Practice |
Claims Payment Dispute |
4 |
2 |
2021 |
California Physicians' Service |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2021 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
43 |
2 |
2021 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
2 |
2021 |
California Physicians' Service |
Hospital/Institutional |
Other |
1 |
2 |
2021 |
California Physicians' Service |
Internal Medicine |
Claims Payment Dispute |
1 |
2 |
2021 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
11 |
2 |
2021 |
California Physicians' Service |
Mental Health |
Dispute Resolution Problems |
5 |
2 |
2021 |
California Physicians' Service |
Mental Health |
Non-Contracted Providers |
4 |
2 |
2021 |
California Physicians' Service |
OB/GYN |
Claims Payment Dispute |
4 |
2 |
2021 |
California Physicians' Service |
OB/GYN |
Dispute Resolution Problems |
1 |
2 |
2021 |
California Physicians' Service |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
2 |
2021 |
California Physicians' Service |
Other Ancillary Service Providers |
Dispute Resolution Problems |
2 |
2 |
2021 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
13 |
2 |
2021 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
2 |
2021 |
California Physicians' Service |
Pharmacy |
Claims Payment Dispute |
9 |
2 |
2021 |
Carelon Behavioral Health of California, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
2 |
2021 |
Carelon Behavioral Health of California, Inc. |
Mental Health |
Contractual Issues |
2 |
2 |
2021 |
CCA Health Plans of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
2 |
2021 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
7 |
2 |
2021 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2021 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
2 |
2021 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
2 |
2021 |
Cigna HealthCare of California, Inc. |
Laboratory Services |
Claims Payment Dispute |
1 |
2 |
2021 |
Cigna HealthCare of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
2 |
2021 |
Cigna HealthCare of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2021 |
Community Health Group |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2021 |
Community Health Group |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2021 |
County of Ventura |
Other Specialist Providers |
Claims Payment Dispute |
2 |
2 |
2021 |
County of Ventura |
Pharmacy |
Claims Payment Dispute |
1 |
3 |
2021 |
California Health and Wellness Plan |
Ambulance |
Claims Payment Dispute |
335 |
3 |
2021 |
California Health and Wellness Plan |
Durable Medical Equipment |
Non-Contracted Providers |
10 |
3 |
2021 |
California Health and Wellness Plan |
Home Health Services |
Non-Contracted Providers |
9 |
3 |
2021 |
California Health and Wellness Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2021 |
California Health and Wellness Plan |
Hospital/Institutional |
Other |
1 |
3 |
2021 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
3 |
2021 |
California Health and Wellness Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2021 |
California Health and Wellness Plan |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
3 |
2021 |
California Health and Wellness Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
3 |
2021 |
California Physicians' Service |
ER Physician |
Non-Contracted Providers |
1 |
3 |
2021 |
California Physicians' Service |
Family/General Practice |
Dispute Resolution Problems |
4 |
3 |
2021 |
California Physicians' Service |
Hospital-Based Physician |
Dispute Resolution Problems |
2 |
3 |
2021 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
23 |
3 |
2021 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
5 |
3 |
2021 |
California Physicians' Service |
Hospital/Institutional |
Non-Contracted Providers |
4 |
3 |
2021 |
California Physicians' Service |
Hospital/Institutional |
Other |
1 |
3 |
2021 |
California Physicians' Service |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
3 |
2021 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
10 |
3 |
2021 |
California Physicians' Service |
OB/GYN |
Claims Payment Dispute |
4 |
3 |
2021 |
California Physicians' Service |
OB/GYN |
Contractual Issues |
1 |
3 |
2021 |
California Physicians' Service |
OB/GYN |
Dispute Resolution Problems |
1 |
3 |
2021 |
California Physicians' Service |
Other Ancillary Service Providers |
Other |
9 |
3 |
2021 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
11 |
3 |
2021 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
3 |
3 |
2021 |
California Physicians' Service |
Pharmacy |
Claims Payment Dispute |
5 |
3 |
2021 |
California Physicians' Service |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2021 |
Carelon Behavioral Health of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2021 |
Carelon Behavioral Health of California, Inc. |
Mental Health |
Unknown |
1 |
3 |
2021 |
Children's Health Plan of California |
Home Health Services |
Claims Payment Dispute |
1 |
3 |
2021 |
Cigna HealthCare of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2021 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
6 |
3 |
2021 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2021 |
Cigna HealthCare of California, Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
3 |
2021 |
Community Health Group |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2021 |
County of Ventura |
Vision |
Claims Payment Dispute |
1 |
4 |
2021 |
California Health and Wellness Plan |
Ambulance |
Claims Payment Dispute |
436 |
4 |
2021 |
California Health and Wellness Plan |
Hospital/Institutional |
Claims Payment Dispute |
31 |
4 |
2021 |
California Health and Wellness Plan |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2021 |
California Health and Wellness Plan |
Hospital/Institutional |
Non-Contracted Providers |
2 |
4 |
2021 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
4 |
2021 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
4 |
2021 |
California Health and Wellness Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2021 |
California Physicians' Service |
Ambulance |
Dispute Resolution Problems |
4 |
4 |
2021 |
California Physicians' Service |
ER Physician |
Other |
1 |
4 |
2021 |
California Physicians' Service |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
4 |
2021 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
16 |
4 |
2021 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
9 |
4 |
2021 |
California Physicians' Service |
Hospital/Institutional |
Non-Contracted Providers |
2 |
4 |
2021 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
18 |
4 |
2021 |
California Physicians' Service |
Mental Health |
Non-Contracted Providers |
2 |
4 |
2021 |
California Physicians' Service |
Mental Health |
Other |
4 |
4 |
2021 |
California Physicians' Service |
OB/GYN |
Claims Payment Dispute |
2 |
4 |
2021 |
California Physicians' Service |
Other Ancillary Service Providers |
Other |
1 |
4 |
2021 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
4 |
4 |
2021 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
4 |
4 |
2021 |
California Physicians' Service |
Other Specialist Providers |
Non-Contracted Providers |
6 |
4 |
2021 |
California Physicians' Service |
Pharmacy |
Claims Payment Dispute |
2 |
4 |
2021 |
California Physicians' Service |
Pharmacy |
Dispute Resolution Problems |
2 |
4 |
2021 |
California Physicians' Service |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
4 |
2021 |
Central Health Plan of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2021 |
Cigna HealthCare of California, Inc. |
Ambulance |
Non-Contracted Providers |
2 |
4 |
2021 |
Cigna HealthCare of California, Inc. |
Home Health Services |
Claims Payment Dispute |
1 |
4 |
2021 |
Cigna HealthCare of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
6 |
4 |
2021 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
5 |
4 |
2021 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
4 |
2021 |
Cigna HealthCare of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2021 |
Community Health Group |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
4 |
2021 |
Contra Costa County Medical Services |
Durable Medical Equipment |
Dispute Resolution Problems |
5 |
4 |
2021 |
Contra Costa County Medical Services |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2022 |
California Health and Wellness Plan |
Ambulance |
Claims Payment Dispute |
205 |
1 |
2022 |
California Health and Wellness Plan |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2022 |
California Health and Wellness Plan |
Home Health Services |
Claims Payment Dispute |
3 |
1 |
2022 |
California Health and Wellness Plan |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2022 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
11 |
1 |
2022 |
California Health and Wellness Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2022 |
California Health and Wellness Plan |
Physical/Speech/Occupational Therapy |
Contractual Issues |
12 |
1 |
2022 |
California Physicians' Service |
Ambulance |
Overpayment/Refund Request |
2 |
1 |
2022 |
California Physicians' Service |
ER Physician |
Claims Payment Dispute |
1 |
1 |
2022 |
California Physicians' Service |
ER Physician |
Unknown |
1 |
1 |
2022 |
California Physicians' Service |
Home Health Services |
Claims Payment Dispute |
15 |
1 |
2022 |
California Physicians' Service |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
1 |
2022 |
California Physicians' Service |
Hospital-Based Physician |
Non-Contracted Providers |
2 |
1 |
2022 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
7 |
1 |
2022 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
1 |
2022 |
California Physicians' Service |
Hospital/Institutional |
Non-Contracted Providers |
5 |
1 |
2022 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
11 |
1 |
2022 |
California Physicians' Service |
Mental Health |
Dispute Resolution Problems |
2 |
1 |
2022 |
California Physicians' Service |
OB/GYN |
Claims Payment Dispute |
3 |
1 |
2022 |
California Physicians' Service |
OB/GYN |
Contractual Issues |
1 |
1 |
2022 |
California Physicians' Service |
Other Ancillary Service Providers |
Claims Payment Dispute |
10 |
1 |
2022 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
8 |
1 |
2022 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2022 |
California Physicians' Service |
Pharmacy |
Claims Payment Dispute |
5 |
1 |
2022 |
California Physicians' Service |
Pharmacy |
Dispute Resolution Problems |
1 |
1 |
2022 |
California Physicians' Service |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
1 |
2022 |
Carelon Health of California, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
1 |
2022 |
Cigna HealthCare of California, Inc. |
Ambulance |
Other |
1 |
1 |
2022 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
4 |
1 |
2022 |
Cigna HealthCare of California, Inc. |
Mental Health |
Claims Payment Dispute |
5 |
1 |
2022 |
Cigna HealthCare of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2022 |
Cigna HealthCare of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
1 |
2022 |
Contra Costa County Medical Services |
Ambulance |
Claims Payment Dispute |
1 |
1 |
2022 |
Contra Costa County Medical Services |
Hospital/Institutional |
Claims Payment Dispute |
7 |
2 |
2022 |
California Health and Wellness Plan |
Ambulance |
Claims Payment Dispute |
25 |
2 |
2022 |
California Health and Wellness Plan |
Durable Medical Equipment |
Non-Contracted Providers |
3 |
2 |
2022 |
California Health and Wellness Plan |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
2 |
2022 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
13 |
2 |
2022 |
California Health and Wellness Plan |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
2 |
2022 |
California Physicians' Service |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2022 |
California Physicians' Service |
Ambulance |
Non-Contracted Providers |
1 |
2 |
2022 |
California Physicians' Service |
ER Physician |
Non-Contracted Providers |
8 |
2 |
2022 |
California Physicians' Service |
Family/General Practice |
Claims Payment Dispute |
3 |
2 |
2022 |
California Physicians' Service |
Home Health Services |
Claims Payment Dispute |
14 |
2 |
2022 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
10 |
2 |
2022 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
2 |
2022 |
California Physicians' Service |
Hospital/Institutional |
Non-Contracted Providers |
6 |
2 |
2022 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
12 |
2 |
2022 |
California Physicians' Service |
OB/GYN |
Claims Payment Dispute |
1 |
2 |
2022 |
California Physicians' Service |
OB/GYN |
Dispute Resolution Problems |
1 |
2 |
2022 |
California Physicians' Service |
OB/GYN |
Other |
1 |
2 |
2022 |
California Physicians' Service |
Other Ancillary Service Providers |
Claims Payment Dispute |
13 |
2 |
2022 |
California Physicians' Service |
Other Ancillary Service Providers |
Non-Contracted Providers |
1 |
2 |
2022 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
9 |
2 |
2022 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
2 |
2022 |
California Physicians' Service |
Pharmacy |
Claims Payment Dispute |
2 |
2 |
2022 |
California Physicians' Service |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
2 |
2022 |
California Physicians' Service |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
2 |
2022 |
Carelon Health of California, Inc. |
Other Specialist Providers |
Unknown |
1 |
2 |
2022 |
Cigna Dental Health of California, Inc. |
Dental |
Claims Payment Dispute |
1 |
2 |
2022 |
Cigna HealthCare of California, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2022 |
Cigna HealthCare of California, Inc. |
Ambulance |
Non-Contracted Providers |
6 |
2 |
2022 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
2 |
2022 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Contractual Issues |
1 |
2 |
2022 |
Cigna HealthCare of California, Inc. |
Mental Health |
Claims Payment Dispute |
3 |
2 |
2022 |
Cigna HealthCare of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
2 |
2022 |
Community Health Group |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
2 |
2022 |
Contra Costa County Medical Services |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2022 |
Contra Costa County Medical Services |
Home Health Services |
Claims Payment Dispute |
1 |
2 |
2022 |
Contra Costa County Medical Services |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2022 |
Contra Costa County Medical Services |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2022 |
County of Ventura |
Home Health Services |
Claims Payment Dispute |
2 |
3 |
2022 |
California Health and Wellness Plan |
Durable Medical Equipment |
Claims Payment Dispute |
3 |
3 |
2022 |
California Health and Wellness Plan |
Hospital/Institutional |
Claims Payment Dispute |
2 |
3 |
2022 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Dispute Resolution Problems |
5 |
3 |
2022 |
California Health and Wellness Plan |
Other Specialist Providers |
Claims Payment Dispute |
2 |
3 |
2022 |
California Health and Wellness Plan |
Other Specialist Providers |
Dispute Resolution Problems |
3 |
3 |
2022 |
California Health and Wellness Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2022 |
California Physicians' Service |
Ambulance |
Non-Contracted Providers |
1 |
3 |
2022 |
California Physicians' Service |
ER Physician |
Claims Payment Dispute |
1 |
3 |
2022 |
California Physicians' Service |
ER Physician |
Non-Contracted Providers |
1 |
3 |
2022 |
California Physicians' Service |
Family/General Practice |
Claims Payment Dispute |
2 |
3 |
2022 |
California Physicians' Service |
Home Health Services |
Claims Payment Dispute |
2 |
3 |
2022 |
California Physicians' Service |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2022 |
California Physicians' Service |
Hospital-Based Physician |
Dispute Resolution Problems |
2 |
3 |
2022 |
California Physicians' Service |
Hospital-Based Physician |
Unknown |
1 |
3 |
2022 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
12 |
3 |
2022 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
7 |
3 |
2022 |
California Physicians' Service |
Hospital/Institutional |
Non-Contracted Providers |
2 |
3 |
2022 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
4 |
3 |
2022 |
California Physicians' Service |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
3 |
2022 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
5 |
3 |
2022 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
14 |
3 |
2022 |
California Physicians' Service |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
9 |
3 |
2022 |
Carelon Behavioral Health of California, Inc. |
Mental Health |
Dispute Resolution Problems |
2 |
3 |
2022 |
Carelon Health of California, Inc. |
Chiropractic |
Claims Payment Dispute |
1 |
3 |
2022 |
Cigna HealthCare of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
3 |
2022 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
4 |
3 |
2022 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
3 |
2022 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Unknown |
2 |
3 |
2022 |
Cigna HealthCare of California, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
3 |
2022 |
Cigna HealthCare of California, Inc. |
Mental Health |
Non-Contracted Providers |
1 |
3 |
2022 |
Cigna HealthCare of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
4 |
2022 |
California Health and Wellness Plan |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2022 |
California Health and Wellness Plan |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
4 |
2022 |
California Health and Wellness Plan |
Durable Medical Equipment |
Non-Contracted Providers |
2 |
4 |
2022 |
California Health and Wellness Plan |
Home Health Services |
Claims Payment Dispute |
1 |
4 |
2022 |
California Health and Wellness Plan |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
4 |
2022 |
California Physicians' Service |
Ambulance |
Non-Contracted Providers |
1 |
4 |
2022 |
California Physicians' Service |
Dental |
Claims Payment Dispute |
1 |
4 |
2022 |
California Physicians' Service |
Family/General Practice |
Claims Payment Dispute |
4 |
4 |
2022 |
California Physicians' Service |
Family/General Practice |
Contractual Issues |
1 |
4 |
2022 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
6 |
4 |
2022 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
7 |
4 |
2022 |
California Physicians' Service |
Hospital/Institutional |
Non-Contracted Providers |
5 |
4 |
2022 |
California Physicians' Service |
Laboratory Services |
Claims Payment Dispute |
3 |
4 |
2022 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2022 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
13 |
4 |
2022 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
6 |
4 |
2022 |
California Physicians' Service |
Pharmacy |
Claims Payment Dispute |
11 |
4 |
2022 |
California Physicians' Service |
Skilled Nursing Facility |
Claims Payment Dispute |
7 |
4 |
2022 |
California Physicians' Service |
Skilled Nursing Facility |
Dispute Resolution Problems |
6 |
4 |
2022 |
Carelon Behavioral Health of California, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2022 |
Carelon Behavioral Health of California, Inc. |
Mental Health |
Dispute Resolution Problems |
1 |
4 |
2022 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
6 |
4 |
2022 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
6 |
4 |
2022 |
Cigna HealthCare of California, Inc. |
Internal Medicine |
Dispute Resolution Problems |
5 |
4 |
2022 |
Cigna HealthCare of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2022 |
Community Care Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
4 |
2022 |
Contra Costa County Medical Services |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2023 |
California Health and Wellness Plan |
Ambulance |
Claims Payment Dispute |
14 |
1 |
2023 |
California Health and Wellness Plan |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2023 |
California Health and Wellness Plan |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
1 |
2023 |
California Health and Wellness Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
1 |
2023 |
California Health and Wellness Plan |
Durable Medical Equipment |
Overpayment/Refund Request |
1 |
1 |
2023 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
6 |
1 |
2023 |
California Health and Wellness Plan |
Other Specialist Providers |
Claims Payment Dispute |
2 |
1 |
2023 |
California Health and Wellness Plan |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
1 |
2023 |
California Health and Wellness Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
1 |
2023 |
California Physicians' Service |
Ambulance |
Non-Contracted Providers |
10 |
1 |
2023 |
California Physicians' Service |
Dental |
Claims Payment Dispute |
1 |
1 |
2023 |
California Physicians' Service |
ER Physician |
Claims Payment Dispute |
1 |
1 |
2023 |
California Physicians' Service |
Hospital-Based Physician |
Claims Payment Dispute |
9 |
1 |
2023 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
8 |
1 |
2023 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
6 |
1 |
2023 |
California Physicians' Service |
Hospital/Institutional |
Non-Contracted Providers |
25 |
1 |
2023 |
California Physicians' Service |
Laboratory Services |
Claims Payment Dispute |
2 |
1 |
2023 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
41 |
1 |
2023 |
California Physicians' Service |
Mental Health |
Dispute Resolution Problems |
13 |
1 |
2023 |
California Physicians' Service |
OB/GYN |
Claims Payment Dispute |
2 |
1 |
2023 |
California Physicians' Service |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2023 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
5 |
1 |
2023 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
1 |
2023 |
California Physicians' Service |
Other Specialist Providers |
Non-Contracted Providers |
1 |
1 |
2023 |
California Physicians' Service |
Pharmacy |
Claims Payment Dispute |
2 |
1 |
2023 |
California Physicians' Service |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
1 |
2023 |
Carelon Behavioral Health of California, Inc. |
Mental Health |
Dispute Resolution Problems |
5 |
1 |
2023 |
Carelon Health of California, Inc. |
Laboratory Services |
Claims Payment Dispute |
1 |
1 |
2023 |
Carelon Health of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
3 |
1 |
2023 |
Central Health Plan of California, Inc. |
Pharmacy |
Claims Payment Dispute |
1 |
1 |
2023 |
Chinese Community Health Plan |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2023 |
Cigna HealthCare of California, Inc. |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2023 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
4 |
1 |
2023 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2023 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Unknown |
2 |
1 |
2023 |
Cigna HealthCare of California, Inc. |
Laboratory Services |
Claims Payment Dispute |
1 |
1 |
2023 |
Cigna HealthCare of California, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2023 |
Cigna HealthCare of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2023 |
Community Health Group |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2023 |
Contra Costa County Medical Services |
Durable Medical Equipment |
Dispute Resolution Problems |
7 |
2 |
2023 |
California Health and Wellness Plan |
Ambulance |
Claims Payment Dispute |
8 |
2 |
2023 |
California Health and Wellness Plan |
Ambulance |
Dispute Resolution Problems |
1 |
2 |
2023 |
California Health and Wellness Plan |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
2 |
2023 |
California Health and Wellness Plan |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
2 |
2023 |
California Health and Wellness Plan |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2023 |
California Health and Wellness Plan |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
2 |
2023 |
California Health and Wellness Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2023 |
California Physicians' Service |
Ambulance |
Non-Contracted Providers |
2 |
2 |
2023 |
California Physicians' Service |
Anesthesiology |
Non-Contracted Providers |
6 |
2 |
2023 |
California Physicians' Service |
Dental |
Dispute Resolution Problems |
1 |
2 |
2023 |
California Physicians' Service |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
2 |
2023 |
California Physicians' Service |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
2 |
2023 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
14 |
2 |
2023 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
2 |
2023 |
California Physicians' Service |
Hospital/Institutional |
Non-Contracted Providers |
3 |
2 |
2023 |
California Physicians' Service |
Hospital/Institutional |
Other |
4 |
2 |
2023 |
California Physicians' Service |
Hospital/Institutional |
Unknown |
1 |
2 |
2023 |
California Physicians' Service |
Internal Medicine |
Claims Payment Dispute |
4 |
2 |
2023 |
California Physicians' Service |
Laboratory Services |
Dispute Resolution Problems |
2 |
2 |
2023 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
1 |
2 |
2023 |
California Physicians' Service |
Mental Health |
Dispute Resolution Problems |
2 |
2 |
2023 |
California Physicians' Service |
Mental Health |
Other |
1 |
2 |
2023 |
California Physicians' Service |
OB/GYN |
Claims Payment Dispute |
6 |
2 |
2023 |
California Physicians' Service |
Other Ancillary Service Providers |
Claims Payment Dispute |
4 |
2 |
2023 |
California Physicians' Service |
Other Ancillary Service Providers |
Dispute Resolution Problems |
4 |
2 |
2023 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
18 |
2 |
2023 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
2 |
2023 |
California Physicians' Service |
Pharmacy |
Claims Payment Dispute |
21 |
2 |
2023 |
California Physicians' Service |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2023 |
Cigna HealthCare of California, Inc. |
ER Physician |
Unknown |
1 |
2 |
2023 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
5 |
2 |
2023 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
2 |
2023 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2023 |
Cigna HealthCare of California, Inc. |
Laboratory Services |
Dispute Resolution Problems |
1 |
2 |
2023 |
Cigna HealthCare of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2023 |
Cigna HealthCare of California, Inc. |
Pediatrics |
Dispute Resolution Problems |
1 |
2 |
2023 |
Cigna HealthCare of California, Inc. |
Pharmacy |
Dispute Resolution Problems |
10 |
2 |
2023 |
Community Family Care Health Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
9 |
3 |
2023 |
California Health and Wellness Plan |
Ambulance |
Claims Payment Dispute |
21 |
3 |
2023 |
California Health and Wellness Plan |
Ambulance |
Non-Contracted Providers |
2 |
3 |
2023 |
California Health and Wellness Plan |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
3 |
2023 |
California Health and Wellness Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2023 |
California Health and Wellness Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
3 |
2023 |
California Health and Wellness Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
3 |
2023 |
California Physicians' Service |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2023 |
California Physicians' Service |
Ambulance |
Unknown |
1 |
3 |
2023 |
California Physicians' Service |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
3 |
2023 |
California Physicians' Service |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
3 |
2023 |
California Physicians' Service |
ER Physician |
Claims Payment Dispute |
1 |
3 |
2023 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
24 |
3 |
2023 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
3 |
2023 |
California Physicians' Service |
Hospital/Institutional |
Non-Contracted Providers |
36 |
3 |
2023 |
California Physicians' Service |
Hospital/Institutional |
Other |
1 |
3 |
2023 |
California Physicians' Service |
Laboratory Services |
Claims Payment Dispute |
4 |
3 |
2023 |
California Physicians' Service |
Mental Health |
Dispute Resolution Problems |
1 |
3 |
2023 |
California Physicians' Service |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
3 |
2023 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
20 |
3 |
2023 |
California Physicians' Service |
Other Specialist Providers |
Contractual Issues |
1 |
3 |
2023 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
11 |
3 |
2023 |
California Physicians' Service |
Pharmacy |
Claims Payment Dispute |
408 |
3 |
2023 |
Carelon Health of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2023 |
Cigna HealthCare of California, Inc. |
Ambulance |
Non-Contracted Providers |
1 |
3 |
2023 |
Cigna HealthCare of California, Inc. |
ER Physician |
Non-Contracted Providers |
2 |
3 |
2023 |
Cigna HealthCare of California, Inc. |
ER Physician |
Unknown |
3 |
3 |
2023 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2023 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Contractual Issues |
2 |
3 |
2023 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
7 |
3 |
2023 |
Cigna HealthCare of California, Inc. |
Mental Health |
Claims Payment Dispute |
6 |
3 |
2023 |
Cigna HealthCare of California, Inc. |
Pharmacy |
Claims Payment Dispute |
10 |
3 |
2023 |
Cigna HealthCare of California, Inc. |
Vision |
Other |
1 |
3 |
2023 |
Community Health Group |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2023 |
County of Ventura |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2023 |
California Health and Wellness Plan |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2023 |
California Health and Wellness Plan |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
4 |
2023 |
California Health and Wellness Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2023 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
4 |
2023 |
California Health and Wellness Plan |
Physical/Speech/Occupational Therapy |
Dispute Resolution Problems |
1 |
4 |
2023 |
California Health and Wellness Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
4 |
2023 |
California Physicians' Service |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2023 |
California Physicians' Service |
ER Physician |
Non-Contracted Providers |
1 |
4 |
2023 |
California Physicians' Service |
Home Health Services |
Claims Payment Dispute |
2 |
4 |
2023 |
California Physicians' Service |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
4 |
2023 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
22 |
4 |
2023 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
4 |
2023 |
California Physicians' Service |
Hospital/Institutional |
Non-Contracted Providers |
39 |
4 |
2023 |
California Physicians' Service |
Hospital/Institutional |
Other |
2 |
4 |
2023 |
California Physicians' Service |
Internal Medicine |
Claims Payment Dispute |
1 |
4 |
2023 |
California Physicians' Service |
Internal Medicine |
Dispute Resolution Problems |
1 |
4 |
2023 |
California Physicians' Service |
Laboratory Services |
Claims Payment Dispute |
446 |
4 |
2023 |
California Physicians' Service |
Laboratory Services |
Dispute Resolution Problems |
1 |
4 |
2023 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
9 |
4 |
2023 |
California Physicians' Service |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
4 |
2023 |
California Physicians' Service |
Other Ancillary Service Providers |
Contractual Issues |
3 |
4 |
2023 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
25 |
4 |
2023 |
California Physicians' Service |
Other Specialist Providers |
Contractual Issues |
1 |
4 |
2023 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
4 |
2023 |
California Physicians' Service |
Pediatrics |
Claims Payment Dispute |
1 |
4 |
2023 |
California Physicians' Service |
Pharmacy |
Claims Payment Dispute |
10 |
4 |
2023 |
Carelon Behavioral Health of California, Inc. |
Mental Health |
Claims Payment Dispute |
3 |
4 |
2023 |
Carelon Health of California, Inc. |
Laboratory Services |
Dispute Resolution Problems |
1 |
4 |
2023 |
Central Health Plan of California, Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
4 |
2023 |
Choice Physicians Network, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2023 |
Cigna HealthCare of California, Inc. |
Ambulance |
Claims Payment Dispute |
9 |
4 |
2023 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
12 |
4 |
2023 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Contractual Issues |
2 |
4 |
2023 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
4 |
2023 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
4 |
2023 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Other |
1 |
4 |
2023 |
Cigna HealthCare of California, Inc. |
Mental Health |
Claims Payment Dispute |
3 |
4 |
2023 |
Cigna HealthCare of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
4 |
2023 |
Cigna HealthCare of California, Inc. |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
1 |
4 |
2023 |
Cigna HealthCare of California, Inc. |
Vision |
Other |
3 |
4 |
2023 |
Community Health Group |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2023 |
Contra Costa County Medical Services |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2023 |
Contra Costa County Medical Services |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
4 |
2023 |
Contra Costa County Medical Services |
Mental Health |
Claims Payment Dispute |
2 |
4 |
2023 |
Contra Costa County Medical Services |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2023 |
Contra Costa County Medical Services |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
4 |
2023 |
County of Ventura |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2024 |
California Health and Wellness Plan |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2024 |
California Health and Wellness Plan |
Hospital/Institutional |
Claims Payment Dispute |
4 |
1 |
2024 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
4 |
1 |
2024 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Overpayment/Refund Request |
2 |
1 |
2024 |
California Health and Wellness Plan |
Other Specialist Providers |
Claims Payment Dispute |
5 |
1 |
2024 |
California Physicians' Service |
Ambulance |
Claims Payment Dispute |
1 |
1 |
2024 |
California Physicians' Service |
Ambulance |
Non-Contracted Providers |
2 |
1 |
2024 |
California Physicians' Service |
Dental |
Claims Payment Dispute |
1 |
1 |
2024 |
California Physicians' Service |
Durable Medical Equipment |
Claims Payment Dispute |
4 |
1 |
2024 |
California Physicians' Service |
ER Physician |
Non-Contracted Providers |
4 |
1 |
2024 |
California Physicians' Service |
Hospital-Based Physician |
Claims Payment Dispute |
10 |
1 |
2024 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
32 |
1 |
2024 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
5 |
1 |
2024 |
California Physicians' Service |
Hospital/Institutional |
Non-Contracted Providers |
14 |
1 |
2024 |
California Physicians' Service |
Hospital/Institutional |
Other |
1 |
1 |
2024 |
California Physicians' Service |
Hospital/Institutional |
Unknown |
10 |
1 |
2024 |
California Physicians' Service |
Laboratory Services |
Claims Payment Dispute |
25 |
1 |
2024 |
California Physicians' Service |
Laboratory Services |
Dispute Resolution Problems |
8 |
1 |
2024 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
24 |
1 |
2024 |
California Physicians' Service |
Mental Health |
Dispute Resolution Problems |
31 |
1 |
2024 |
California Physicians' Service |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2024 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
9 |
1 |
2024 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
1 |
2024 |
California Physicians' Service |
Pharmacy |
Claims Payment Dispute |
229 |
1 |
2024 |
California Physicians' Service |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2024 |
California Physicians' Service |
Vision |
Claims Payment Dispute |
7 |
1 |
2024 |
Carelon Behavioral Health of California, Inc. |
Mental Health |
Claims Payment Dispute |
4 |
1 |
2024 |
Carelon Behavioral Health of California, Inc. |
Mental Health |
Contractual Issues |
1 |
1 |
2024 |
Carelon Health of California, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
1 |
2024 |
Carelon Health of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
4 |
1 |
2024 |
Carelon Health of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
1 |
2024 |
Carelon Health of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2024 |
Cigna Dental Health of California, Inc. |
Dental |
Claims Payment Dispute |
5 |
1 |
2024 |
Cigna Dental Health of California, Inc. |
Laboratory Services |
Claims Payment Dispute |
1 |
1 |
2024 |
Cigna HealthCare of California, Inc. |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2024 |
Cigna HealthCare of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
1 |
2024 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
8 |
1 |
2024 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
1 |
2024 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
1 |
2024 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Other |
2 |
1 |
2024 |
Cigna HealthCare of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
1 |
2024 |
Community Health Group |
Hospital/Institutional |
Claims Payment Dispute |
5 |
2 |
2024 |
California Health and Wellness Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
2 |
2024 |
California Health and Wellness Plan |
Durable Medical Equipment |
Non-Contracted Providers |
7 |
2 |
2024 |
California Health and Wellness Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2024 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
6 |
2 |
2024 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
2 |
2024 |
California Health and Wellness Plan |
Other Specialist Providers |
Claims Payment Dispute |
23 |
2 |
2024 |
California Health and Wellness Plan |
Other Specialist Providers |
Non-Contracted Providers |
1 |
2 |
2024 |
California Health and Wellness Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
10 |
2 |
2024 |
California Physicians' Service |
Ambulance |
Claims Payment Dispute |
13 |
2 |
2024 |
California Physicians' Service |
Ambulance |
Dispute Resolution Problems |
1 |
2 |
2024 |
California Physicians' Service |
Ambulance |
Non-Contracted Providers |
11 |
2 |
2024 |
California Physicians' Service |
Dental |
Claims Payment Dispute |
2 |
2 |
2024 |
California Physicians' Service |
Dental |
Dispute Resolution Problems |
1 |
2 |
2024 |
California Physicians' Service |
Dental |
Non-Contracted Providers |
2 |
2 |
2024 |
California Physicians' Service |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
2 |
2024 |
California Physicians' Service |
Hospital-Based Physician |
Claims Payment Dispute |
3 |
2 |
2024 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
36 |
2 |
2024 |
California Physicians' Service |
Hospital/Institutional |
Contractual Issues |
1 |
2 |
2024 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
28 |
2 |
2024 |
California Physicians' Service |
Hospital/Institutional |
Non-Contracted Providers |
7 |
2 |
2024 |
California Physicians' Service |
Hospital/Institutional |
Other |
1 |
2 |
2024 |
California Physicians' Service |
Internal Medicine |
Claims Payment Dispute |
1 |
2 |
2024 |
California Physicians' Service |
Internal Medicine |
Dispute Resolution Problems |
3 |
2 |
2024 |
California Physicians' Service |
Laboratory Services |
Claims Payment Dispute |
34 |
2 |
2024 |
California Physicians' Service |
Laboratory Services |
Dispute Resolution Problems |
934 |
2 |
2024 |
California Physicians' Service |
Laboratory Services |
Non-Contracted Providers |
23 |
2 |
2024 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
31 |
2 |
2024 |
California Physicians' Service |
OB/GYN |
Claims Payment Dispute |
1 |
2 |
2024 |
California Physicians' Service |
Other Ancillary Service Providers |
Claims Payment Dispute |
3 |
2 |
2024 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
33 |
2 |
2024 |
California Physicians' Service |
Other Specialist Providers |
Contractual Issues |
11 |
2 |
2024 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
14 |
2 |
2024 |
California Physicians' Service |
Other Specialist Providers |
Non-Contracted Providers |
2 |
2 |
2024 |
California Physicians' Service |
Other Specialist Providers |
Overpayment/Refund Request |
1 |
2 |
2024 |
California Physicians' Service |
Pharmacy |
Claims Payment Dispute |
427 |
2 |
2024 |
California Physicians' Service |
Skilled Nursing Facility |
Claims Payment Dispute |
6 |
2 |
2024 |
Carelon Behavioral Health of California, Inc. |
Mental Health |
Claims Payment Dispute |
14 |
2 |
2024 |
Carelon Health of California, Inc. |
Skilled Nursing Facility |
Other |
1 |
2 |
2024 |
Cigna HealthCare of California, Inc. |
Ambulance |
Dispute Resolution Problems |
1 |
2 |
2024 |
Cigna HealthCare of California, Inc. |
Ambulance |
Non-Contracted Providers |
4 |
2 |
2024 |
Cigna HealthCare of California, Inc. |
Ambulance |
Unknown |
1 |
2 |
2024 |
Cigna HealthCare of California, Inc. |
Family/General Practice |
Claims Payment Dispute |
2 |
2 |
2024 |
Cigna HealthCare of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2024 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
5 |
2 |
2024 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
2 |
2024 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2024 |
Cigna HealthCare of California, Inc. |
Mental Health |
Claims Payment Dispute |
2 |
2 |
2024 |
Cigna HealthCare of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
5 |
2 |
2024 |
Cigna HealthCare of California, Inc. |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
3 |
2024 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
3 |
2024 |
California Health and Wellness Plan |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
3 |
2024 |
California Health and Wellness Plan |
Other Specialist Providers |
Claims Payment Dispute |
7 |
3 |
2024 |
California Health and Wellness Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
3 |
2024 |
California Physicians' Service |
Ambulance |
Claims Payment Dispute |
88 |
3 |
2024 |
California Physicians' Service |
Ambulance |
Contractual Issues |
2 |
3 |
2024 |
California Physicians' Service |
Ambulance |
Dispute Resolution Problems |
13 |
3 |
2024 |
California Physicians' Service |
Ambulance |
Non-Contracted Providers |
31 |
3 |
2024 |
California Physicians' Service |
Dental |
Claims Payment Dispute |
3 |
3 |
2024 |
California Physicians' Service |
Durable Medical Equipment |
Claims Payment Dispute |
4 |
3 |
2024 |
California Physicians' Service |
Family/General Practice |
Dispute Resolution Problems |
1 |
3 |
2024 |
California Physicians' Service |
Home Health Services |
Claims Payment Dispute |
3 |
3 |
2024 |
California Physicians' Service |
Hospital-Based Physician |
Claims Payment Dispute |
10 |
3 |
2024 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
97 |
3 |
2024 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
19 |
3 |
2024 |
California Physicians' Service |
Hospital/Institutional |
Non-Contracted Providers |
12 |
3 |
2024 |
California Physicians' Service |
Hospital/Institutional |
Other |
1 |
3 |
2024 |
California Physicians' Service |
Hospital/Institutional |
Overpayment/Refund Request |
4 |
3 |
2024 |
California Physicians' Service |
Internal Medicine |
Other |
1 |
3 |
2024 |
California Physicians' Service |
Laboratory Services |
Claims Payment Dispute |
52 |
3 |
2024 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
1 |
3 |
2024 |
California Physicians' Service |
Mental Health |
Other |
1 |
3 |
2024 |
California Physicians' Service |
OB/GYN |
Dispute Resolution Problems |
1 |
3 |
2024 |
California Physicians' Service |
OB/GYN |
Non-Contracted Providers |
2 |
3 |
2024 |
California Physicians' Service |
Other Ancillary Service Providers |
Claims Payment Dispute |
5 |
3 |
2024 |
California Physicians' Service |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
3 |
2024 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
27 |
3 |
2024 |
California Physicians' Service |
Other Specialist Providers |
Contractual Issues |
1 |
3 |
2024 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
11 |
3 |
2024 |
California Physicians' Service |
Other Specialist Providers |
Non-Contracted Providers |
1 |
3 |
2024 |
California Physicians' Service |
Pharmacy |
Claims Payment Dispute |
96 |
3 |
2024 |
California Physicians' Service |
Skilled Nursing Facility |
Claims Payment Dispute |
6 |
3 |
2024 |
California Physicians' Service |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
3 |
2024 |
Carelon Behavioral Health of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2024 |
Carelon Behavioral Health of California, Inc. |
Mental Health |
Claims Payment Dispute |
7 |
3 |
2024 |
Central Health Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2024 |
Choice Physicians Network, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
3 |
3 |
2024 |
Cigna Dental Health of California, Inc. |
Dental |
Contractual Issues |
1 |
3 |
2024 |
Cigna HealthCare of California, Inc. |
Ambulance |
Non-Contracted Providers |
2 |
3 |
2024 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
33 |
3 |
2024 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2024 |
Cigna HealthCare of California, Inc. |
Mental Health |
Non-Contracted Providers |
4 |
3 |
2024 |
Cigna HealthCare of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
6 |
3 |
2024 |
Contra Costa County Medical Services |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
4 |
2024 |
California Health and Wellness Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
4 |
2024 |
California Health and Wellness Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
5 |
4 |
2024 |
California Physicians' Service |
Ambulance |
Claims Payment Dispute |
101 |
4 |
2024 |
California Physicians' Service |
Ambulance |
Contractual Issues |
1 |
4 |
2024 |
California Physicians' Service |
Ambulance |
Dispute Resolution Problems |
10 |
4 |
2024 |
California Physicians' Service |
Ambulance |
Non-Contracted Providers |
16 |
4 |
2024 |
California Physicians' Service |
Durable Medical Equipment |
Claims Payment Dispute |
5 |
4 |
2024 |
California Physicians' Service |
Durable Medical Equipment |
Non-Contracted Providers |
1 |
4 |
2024 |
California Physicians' Service |
Family/General Practice |
Claims Payment Dispute |
3 |
4 |
2024 |
California Physicians' Service |
Hospital-Based Physician |
Claims Payment Dispute |
54 |
4 |
2024 |
California Physicians' Service |
Hospital-Based Physician |
Dispute Resolution Problems |
9 |
4 |
2024 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
59 |
4 |
2024 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
4 |
2024 |
California Physicians' Service |
Hospital/Institutional |
Non-Contracted Providers |
7 |
4 |
2024 |
California Physicians' Service |
Hospital/Institutional |
Overpayment/Refund Request |
3 |
4 |
2024 |
California Physicians' Service |
Internal Medicine |
Claims Payment Dispute |
2 |
4 |
2024 |
California Physicians' Service |
Laboratory Services |
Claims Payment Dispute |
7 |
4 |
2024 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
11 |
4 |
2024 |
California Physicians' Service |
Mental Health |
Non-Contracted Providers |
3 |
4 |
2024 |
California Physicians' Service |
OB/GYN |
Claims Payment Dispute |
2 |
4 |
2024 |
California Physicians' Service |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
4 |
2024 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
16 |
4 |
2024 |
California Physicians' Service |
Other Specialist Providers |
Contractual Issues |
3 |
4 |
2024 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
10 |
4 |
2024 |
California Physicians' Service |
Other Specialist Providers |
Non-Contracted Providers |
1 |
4 |
2024 |
California Physicians' Service |
Other Specialist Providers |
Other |
1 |
4 |
2024 |
California Physicians' Service |
Pharmacy |
Claims Payment Dispute |
364 |
4 |
2024 |
California Physicians' Service |
Physical/Speech/Occupational Therapy |
Dispute Resolution Problems |
1 |
4 |
2024 |
Carelon Health of California, Inc. |
Ambulance |
Claims Payment Dispute |
3 |
4 |
2024 |
Carelon Health of California, Inc. |
Ambulance |
Overpayment/Refund Request |
2 |
4 |
2024 |
CCA Health Plans of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2024 |
Central Health Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2024 |
Central Health Plan of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
7 |
4 |
2024 |
Choice Physicians Network, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2024 |
Cigna HealthCare of California, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2024 |
Cigna HealthCare of California, Inc. |
Ambulance |
Contractual Issues |
1 |
4 |
2024 |
Cigna HealthCare of California, Inc. |
Ambulance |
Non-Contracted Providers |
1 |
4 |
2024 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
18 |
4 |
2024 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2024 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
4 |
2024 |
Cigna HealthCare of California, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2024 |
Cigna HealthCare of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
4 |
2024 |
Clever Care of Golden State Inc. |
Other Specialist Providers |
Claims Payment Dispute |
6 |
4 |
2024 |
Contra Costa County Medical Services |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2025 |
California Health and Wellness Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
1 |
2025 |
California Health and Wellness Plan |
Home Health Services |
Claims Payment Dispute |
2 |
1 |
2025 |
California Health and Wellness Plan |
Hospital/Institutional |
Non-Contracted Providers |
2 |
1 |
2025 |
California Health and Wellness Plan |
Other Specialist Providers |
Non-Contracted Providers |
38 |
1 |
2025 |
California Health and Wellness Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
1 |
2025 |
California Physicians' Service |
Ambulance |
Claims Payment Dispute |
53 |
1 |
2025 |
California Physicians' Service |
Ambulance |
Dispute Resolution Problems |
20 |
1 |
2025 |
California Physicians' Service |
Ambulance |
Non-Contracted Providers |
97 |
1 |
2025 |
California Physicians' Service |
Ambulance |
Overpayment/Refund Request |
2 |
1 |
2025 |
California Physicians' Service |
Dental |
Claims Payment Dispute |
1 |
1 |
2025 |
California Physicians' Service |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2025 |
California Physicians' Service |
Family/General Practice |
Claims Payment Dispute |
1 |
1 |
2025 |
California Physicians' Service |
Hospital-Based Physician |
Claims Payment Dispute |
13 |
1 |
2025 |
California Physicians' Service |
Hospital-Based Physician |
Dispute Resolution Problems |
3 |
1 |
2025 |
California Physicians' Service |
Hospital/Institutional |
Claims Payment Dispute |
62 |
1 |
2025 |
California Physicians' Service |
Hospital/Institutional |
Dispute Resolution Problems |
9 |
1 |
2025 |
California Physicians' Service |
Hospital/Institutional |
Other |
3 |
1 |
2025 |
California Physicians' Service |
Internal Medicine |
Claims Payment Dispute |
3 |
1 |
2025 |
California Physicians' Service |
Internal Medicine |
Dispute Resolution Problems |
20 |
1 |
2025 |
California Physicians' Service |
Laboratory Services |
Claims Payment Dispute |
79 |
1 |
2025 |
California Physicians' Service |
Laboratory Services |
Dispute Resolution Problems |
3 |
1 |
2025 |
California Physicians' Service |
Mental Health |
Claims Payment Dispute |
3 |
1 |
2025 |
California Physicians' Service |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2025 |
California Physicians' Service |
Other Specialist Providers |
Claims Payment Dispute |
24 |
1 |
2025 |
California Physicians' Service |
Other Specialist Providers |
Dispute Resolution Problems |
9 |
1 |
2025 |
California Physicians' Service |
Other Specialist Providers |
Non-Contracted Providers |
1 |
1 |
2025 |
California Physicians' Service |
Other Specialist Providers |
Other |
3 |
1 |
2025 |
California Physicians' Service |
Pharmacy |
Claims Payment Dispute |
262 |
1 |
2025 |
California Physicians' Service |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
1 |
2025 |
California Physicians' Service |
Vision |
Claims Payment Dispute |
1 |
1 |
2025 |
Carelon Behavioral Health of California, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2025 |
Carelon Health of California, Inc. |
Ambulance |
Claims Payment Dispute |
3 |
1 |
2025 |
Carelon Health of California, Inc. |
Ambulance |
Overpayment/Refund Request |
2 |
1 |
2025 |
Carelon Health of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
1 |
2025 |
Carelon Health of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2025 |
Choice Physicians Network, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
3 |
1 |
2025 |
Cigna HealthCare of California, Inc. |
Ambulance |
Claims Payment Dispute |
2 |
1 |
2025 |
Cigna HealthCare of California, Inc. |
Ambulance |
Non-Contracted Providers |
7 |
1 |
2025 |
Cigna HealthCare of California, Inc. |
Home Health Services |
Claims Payment Dispute |
9 |
1 |
2025 |
Cigna HealthCare of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
1 |
2025 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
8 |
1 |
2025 |
Cigna HealthCare of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
1 |
2025 |
Cigna HealthCare of California, Inc. |
Pharmacy |
Claims Payment Dispute |
7 |
1 |
2025 |
Clever Care of Golden State Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2025 |
Community Care Health Plan, Inc. |
On Call Physicians (Not ER) |
Claims Payment Dispute |
1 |
1 |
2025 |
Community Family Care Health Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2025 |
Community Family Care Health Plan, Inc. |
Hospital/Institutional |
Other |
1 |
1 |
2025 |
Community Health Group |
Hospital/Institutional |
Claims Payment Dispute |
2 |
1 |
2025 |
Community Health Group |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2025 |
Contra Costa County Medical Services |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2025 |
Contra Costa County Medical Services |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |