1 |
2019 |
Aetna Better Health of California Inc. |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2019 |
Aetna Better Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2019 |
Aetna Health of California Inc. |
Ambulance |
Non-Contracted Providers |
3 |
1 |
2019 |
Aetna Health of California Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
3 |
1 |
2019 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
19 |
1 |
2019 |
Aetna Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2019 |
Aetna Health of California Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
1 |
2019 |
Aetna Health of California Inc. |
Mental Health |
Non-Contracted Providers |
8 |
1 |
2019 |
Aetna Health of California Inc. |
On Call Physicians (Not ER) |
Claims Payment Dispute |
1 |
1 |
2019 |
Alameda Alliance For Health |
Home Health Services |
Claims Payment Dispute |
1 |
1 |
2019 |
Alameda Alliance For Health |
Hospital/Institutional |
Claims Payment Dispute |
6 |
1 |
2019 |
Alameda Alliance For Health |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2019 |
Alameda Alliance For Health |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2019 |
Alameda Alliance For Health |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
1 |
2019 |
Alignment Health Plan |
Ambulance |
Claims Payment Dispute |
44 |
1 |
2019 |
American Specialty Health Plans of California, Inc. |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
1 |
1 |
2019 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
1 |
1 |
2019 |
Blue Cross of California |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2019 |
Blue Cross of California |
Chiropractic |
Claims Payment Dispute |
2 |
1 |
2019 |
Blue Cross of California |
Chiropractic |
Contractual Issues |
1 |
1 |
2019 |
Blue Cross of California |
Dental |
Dispute Resolution Problems |
1 |
1 |
2019 |
Blue Cross of California |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2019 |
Blue Cross of California |
Family/General Practice |
Claims Payment Dispute |
93 |
1 |
2019 |
Blue Cross of California |
Home Health Services |
Claims Payment Dispute |
4 |
1 |
2019 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
11 |
1 |
2019 |
Blue Cross of California |
Hospital-Based Physician |
Dispute Resolution Problems |
10 |
1 |
2019 |
Blue Cross of California |
Hospital-Based Physician |
Non-Contracted Providers |
2 |
1 |
2019 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
89 |
1 |
2019 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
10 |
1 |
2019 |
Blue Cross of California |
Hospital/Institutional |
Other |
7 |
1 |
2019 |
Blue Cross of California |
Laboratory Services |
Claims Payment Dispute |
8 |
1 |
2019 |
Blue Cross of California |
Laboratory Services |
Dispute Resolution Problems |
13 |
1 |
2019 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
10 |
1 |
2019 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
1 |
1 |
2019 |
Blue Cross of California |
OB/GYN |
Dispute Resolution Problems |
1 |
1 |
2019 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
32 |
1 |
2019 |
Blue Cross of California |
Other Specialist Providers |
Contractual Issues |
1 |
1 |
2019 |
Blue Cross of California |
Other Specialist Providers |
Non-Contracted Providers |
5 |
1 |
2019 |
Blue Cross of California |
Other Specialist Providers |
Other |
1 |
1 |
2019 |
Blue Cross of California |
Pediatrics |
Claims Payment Dispute |
3 |
1 |
2019 |
Blue Cross of California |
Pediatrics |
Dispute Resolution Problems |
2 |
1 |
2019 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
9 |
1 |
2019 |
Blue Cross of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
1 |
2019 |
Blue Shield of California Promise Health Plan |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2019 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
1 |
2019 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
31 |
1 |
2019 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Contractual Issues |
1 |
1 |
2019 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2019 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Contractual Issues |
1 |
1 |
2019 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
6 |
1 |
2019 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
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 |
1 |
2019 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
2 |
1 |
2019 |
Delta Dental of California |
Dental |
Dispute Resolution Problems |
1 |
1 |
2019 |
Delta Dental of California |
Dental |
Overpayment/Refund Request |
1 |
1 |
2019 |
Employee Network Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2019 |
Fresno-Kings-Madera Regional Health Authority |
Family/General Practice |
Overpayment/Refund Request |
1 |
1 |
2019 |
Fresno-Kings-Madera Regional Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
1 |
2019 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
3 |
1 |
2019 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
10 |
1 |
2019 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
3 |
1 |
2019 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
1 |
2019 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
1 |
2019 |
Health Net Health Plan of Oregon, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2019 |
Health Net of California, Inc. |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2019 |
Health Net of California, Inc. |
Ambulance |
Other |
50 |
1 |
2019 |
Health Net of California, Inc. |
Anesthesiology |
Claims Payment Dispute |
10 |
1 |
2019 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
5 |
1 |
2019 |
Health Net of California, Inc. |
Family/General Practice |
Claims Payment Dispute |
2 |
1 |
2019 |
Health Net of California, Inc. |
Home Health Services |
Dispute Resolution Problems |
1 |
1 |
2019 |
Health Net of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
1 |
2019 |
Health Net of California, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
4 |
1 |
2019 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
63 |
1 |
2019 |
Health Net of California, Inc. |
Hospital/Institutional |
Contractual Issues |
1 |
1 |
2019 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
5 |
1 |
2019 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
1 |
2019 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
4 |
1 |
2019 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
42 |
1 |
2019 |
Health Net of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
1 |
2019 |
Health Net of California, Inc. |
Pharmacy |
Claims Payment Dispute |
1 |
1 |
2019 |
Health Net of California, Inc. |
Pharmacy |
Dispute Resolution Problems |
2 |
1 |
2019 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
8 |
1 |
2019 |
Health Plan of San Joaquin Joint Powers Authority |
Pediatrics |
Claims Payment Dispute |
1 |
1 |
2019 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
7 |
1 |
2019 |
Humana Health Plan of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2019 |
Imperial Health Plan of California, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
1 |
2019 |
Inland Empire Health Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
2 |
1 |
2019 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2019 |
Inland Empire Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2019 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
1 |
2019 |
Kaiser Foundation Health Plan, Inc. |
ER Physician |
Unknown |
122 |
1 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
4 |
1 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
3 |
1 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Other |
1 |
1 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Unknown |
43 |
1 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
3 |
1 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
1 |
2019 |
L.A. Care Health Plan Joint Powers Authority |
Hospital-Based Physician |
Dispute Resolution Problems |
3 |
1 |
2019 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2019 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Non-Contracted Providers |
227 |
1 |
2019 |
L.A. Care Health Plan Joint Powers Authority |
OB/GYN |
Dispute Resolution Problems |
5 |
1 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
67 |
1 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Dispute Resolution Problems |
4 |
1 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Claims Payment Dispute |
10 |
1 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Home Health Services |
Claims Payment Dispute |
1 |
1 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Home Health Services |
Dispute Resolution Problems |
5 |
1 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
18 |
1 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Other |
2 |
1 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
1 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
8 |
1 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
15 |
1 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
1 |
2019 |
Magellan Health Services of California, Inc. - Employer Services |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2019 |
Magellan Health Services of California, Inc. - Employer Services |
Mental Health |
Claims Payment Dispute |
24 |
1 |
2019 |
Managed Health Network |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2019 |
Managed Health Network |
Mental Health |
Dispute Resolution Problems |
3 |
1 |
2019 |
Molina Healthcare of California |
Ambulance |
Claims Payment Dispute |
10 |
1 |
2019 |
Molina Healthcare of California |
Ambulance |
Dispute Resolution Problems |
1 |
1 |
2019 |
Molina Healthcare of California |
Durable Medical Equipment |
Dispute Resolution Problems |
37 |
1 |
2019 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
202 |
1 |
2019 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
10 |
1 |
2019 |
Molina Healthcare of California |
Hospital/Institutional |
Other |
1 |
1 |
2019 |
Molina Healthcare of California |
Internal Medicine |
Claims Payment Dispute |
1 |
1 |
2019 |
Molina Healthcare of California |
Mental Health |
Dispute Resolution Problems |
1 |
1 |
2019 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
59 |
1 |
2019 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
14 |
1 |
2019 |
Molina Healthcare of California |
Other Specialist Providers |
Overpayment/Refund Request |
1 |
1 |
2019 |
Molina Healthcare of California |
Pediatrics |
Dispute Resolution Problems |
1 |
1 |
2019 |
Molina Healthcare of California |
Pharmacy |
Claims Payment Dispute |
41 |
1 |
2019 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
11 |
1 |
2019 |
Molina Healthcare of California Partner Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2019 |
Orange County Health Authority |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
1 |
2019 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
2 |
1 |
2019 |
Orange County Health Authority |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2019 |
Orange County Health Authority |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2019 |
Partnership HealthPlan of California |
Home Health Services |
Claims Payment Dispute |
4 |
1 |
2019 |
Partnership HealthPlan of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2019 |
Prospect Health Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2019 |
San Joaquin County Health Commission |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2019 |
Santa Clara County |
Hospital/Institutional |
Claims Payment Dispute |
2 |
1 |
2019 |
Santa Clara County |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2019 |
Scan Health Plan |
Home Health Services |
Non-Contracted Providers |
1 |
1 |
2019 |
Scan Health Plan |
Skilled Nursing Facility |
Non-Contracted Providers |
1 |
1 |
2019 |
U.S. Behavioral Health Plan, California |
Hospital/Institutional |
Claims Payment Dispute |
16 |
1 |
2019 |
U.S. Behavioral Health Plan, California |
Mental Health |
Claims Payment Dispute |
2 |
1 |
2019 |
UHC of California |
Home Health Services |
Claims Payment Dispute |
1 |
1 |
2019 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
8 |
1 |
2019 |
UHC of California |
Mental Health |
Claims Payment Dispute |
5 |
1 |
2019 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
3 |
1 |
2019 |
UnitedHealthcare Benefits Plan of California |
Mental Health |
Non-Contracted Providers |
1 |
1 |
2019 |
UnitedHealthcare Benefits Plan of California |
Pediatrics |
Claims Payment Dispute |
2 |
1 |
2019 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
13 |
1 |
2019 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2019 |
UnitedHealthcare Community Plan of California, Inc. |
On Call Physicians (Not ER) |
Unknown |
1 |
1 |
2019 |
Universal Care, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2019 |
Western Health Advantage |
Mental Health |
Claims Payment Dispute |
2 |
2 |
2019 |
Aetna Better Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
3 |
2 |
2019 |
Aetna Health of California Inc. |
Ambulance |
Non-Contracted Providers |
2 |
2 |
2019 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
3 |
2 |
2019 |
Aetna Health of California Inc. |
Mental Health |
Claims Payment Dispute |
1 |
2 |
2019 |
Aetna Health of California Inc. |
OB/GYN |
Claims Payment Dispute |
1 |
2 |
2019 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2019 |
Alameda Alliance For Health |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2019 |
Alameda Alliance For Health |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2019 |
Alignment Health Plan |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2019 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2019 |
Blue Cross of California |
Durable Medical Equipment |
Claims Payment Dispute |
5 |
2 |
2019 |
Blue Cross of California |
Durable Medical Equipment |
Dispute Resolution Problems |
5 |
2 |
2019 |
Blue Cross of California |
Home Health Services |
Claims Payment Dispute |
6 |
2 |
2019 |
Blue Cross of California |
Home Health Services |
Non-Contracted Providers |
1 |
2 |
2019 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
19 |
2 |
2019 |
Blue Cross of California |
Hospital-Based Physician |
Non-Contracted Providers |
1 |
2 |
2019 |
Blue Cross of California |
Hospital-Based Physician |
Other |
1 |
2 |
2019 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
22 |
2 |
2019 |
Blue Cross of California |
Hospital/Institutional |
Other |
1 |
2 |
2019 |
Blue Cross of California |
Internal Medicine |
Claims Payment Dispute |
1 |
2 |
2019 |
Blue Cross of California |
Laboratory Services |
Claims Payment Dispute |
17 |
2 |
2019 |
Blue Cross of California |
Laboratory Services |
Dispute Resolution Problems |
1 |
2 |
2019 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
63 |
2 |
2019 |
Blue Cross of California |
Mental Health |
Overpayment/Refund Request |
8 |
2 |
2019 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
2 |
2 |
2019 |
Blue Cross of California |
OB/GYN |
Dispute Resolution Problems |
1 |
2 |
2019 |
Blue Cross of California |
OB/GYN |
Other |
1 |
2 |
2019 |
Blue Cross of California |
OB/GYN |
Overpayment/Refund Request |
1 |
2 |
2019 |
Blue Cross of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
3 |
2 |
2019 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
19 |
2 |
2019 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
20 |
2 |
2019 |
Blue Cross of California |
Other Specialist Providers |
Non-Contracted Providers |
2 |
2 |
2019 |
Blue Cross of California |
Pharmacy |
Dispute Resolution Problems |
6 |
2 |
2019 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
8 |
2 |
2019 |
Blue Cross of California |
Skilled Nursing Facility |
Other |
1 |
2 |
2019 |
Blue Cross of California |
Skilled Nursing Facility |
Overpayment/Refund Request |
2 |
2 |
2019 |
Blue Cross of California |
Vision |
Claims Payment Dispute |
1 |
2 |
2019 |
Blue Cross of California Partnership Plan, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2019 |
Blue Cross of California Partnership Plan, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2019 |
Blue Shield of California Promise Health Plan |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2019 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
8 |
2 |
2019 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
2 |
2019 |
Blue Shield of California Promise Health Plan |
Laboratory Services |
Claims Payment Dispute |
1 |
2 |
2019 |
Blue Shield of California Promise Health Plan |
Mental Health |
Claims Payment Dispute |
3 |
2 |
2019 |
Blue Shield of California Promise Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
2 |
2019 |
Blue Shield of California Promise Health Plan |
Pharmacy |
Claims Payment Dispute |
2 |
2 |
2019 |
Blue Shield of California Promise Health Plan |
Pharmacy |
Dispute Resolution Problems |
1 |
2 |
2019 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
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 |
2 |
2019 |
Delta Dental of California |
Dental |
Overpayment/Refund Request |
2 |
2 |
2019 |
Dignity Health Provider Resources, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
2 |
2019 |
Evernorth Behavioral Health of California, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
2 |
2019 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
58 |
2 |
2019 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
2 |
2019 |
Health Net Community Solutions, Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
2 |
2019 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
2 |
2019 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Overpayment/Refund Request |
1 |
2 |
2019 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2019 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
2 |
2019 |
Health Net Health Plan of Oregon, Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
2 |
2019 |
Health Net of California, Inc. |
Ambulance |
Claims Payment Dispute |
23 |
2 |
2019 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
4 |
2 |
2019 |
Health Net of California, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
3 |
2 |
2019 |
Health Net of California, Inc. |
Durable Medical Equipment |
Other |
1 |
2 |
2019 |
Health Net of California, Inc. |
ER Physician |
Claims Payment Dispute |
1 |
2 |
2019 |
Health Net of California, Inc. |
Family/General Practice |
Claims Payment Dispute |
4 |
2 |
2019 |
Health Net of California, Inc. |
Home Health Services |
Claims Payment Dispute |
11 |
2 |
2019 |
Health Net of California, Inc. |
Home Health Services |
Dispute Resolution Problems |
4 |
2 |
2019 |
Health Net of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
6 |
2 |
2019 |
Health Net of California, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
2 |
2019 |
Health Net of California, Inc. |
Hospital-Based Physician |
Overpayment/Refund Request |
4 |
2 |
2019 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
16 |
2 |
2019 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
2 |
2019 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2019 |
Health Net of California, Inc. |
Internal Medicine |
Claims Payment Dispute |
8 |
2 |
2019 |
Health Net of California, Inc. |
Internal Medicine |
Dispute Resolution Problems |
4 |
2 |
2019 |
Health Net of California, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
2 |
2019 |
Health Net of California, Inc. |
Mental Health |
Dispute Resolution Problems |
3 |
2 |
2019 |
Health Net of California, Inc. |
OB/GYN |
Claims Payment Dispute |
7 |
2 |
2019 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
5 |
2 |
2019 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
28 |
2 |
2019 |
Health Net of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
52 |
2 |
2019 |
Health Net of California, Inc. |
Other Specialist Providers |
Other |
1 |
2 |
2019 |
Health Net of California, Inc. |
Pharmacy |
Contractual Issues |
1 |
2 |
2019 |
Health Net of California, Inc. |
Pharmacy |
Dispute Resolution Problems |
16 |
2 |
2019 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
2 |
2019 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
16 |
2 |
2019 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Overpayment/Refund Request |
1 |
2 |
2019 |
Human Affairs International of California |
Mental Health |
Claims Payment Dispute |
1 |
2 |
2019 |
Humana Health Plan of California, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
2 |
2019 |
Humana Health Plan of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2019 |
Inland Empire Health Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
2 |
2019 |
Inland Empire Health Plan |
Home Health Services |
Claims Payment Dispute |
1 |
2 |
2019 |
Inland Empire Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2019 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2019 |
Inland Empire Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
2 |
2019 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
5 |
2 |
2019 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
25 |
2 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
10 |
2 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
10 |
2 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Overpayment/Refund Request |
9 |
2 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
4 |
2 |
2019 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Claims Payment Dispute |
2 |
2 |
2019 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Non-Contracted Providers |
472 |
2 |
2019 |
L.A. Care Health Plan Joint Powers Authority |
OB/GYN |
Dispute Resolution Problems |
4 |
2 |
2019 |
L.A. Care Health Plan Joint Powers Authority |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2019 |
L.A. Care Health Plan Joint Powers Authority |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
2 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Chiropractic |
Claims Payment Dispute |
3 |
2 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Claims Payment Dispute |
5 |
2 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Home Health Services |
Claims Payment Dispute |
1 |
2 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Hospital-Based Physician |
Claims Payment Dispute |
9 |
2 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
2 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Hospital-Based Physician |
Non-Contracted Providers |
8 |
2 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Hospital-Based Physician |
Other |
2 |
2 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
33 |
2 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Internal Medicine |
Claims Payment Dispute |
6 |
2 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
2 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
2 |
2019 |
Magellan Health Services of California, Inc. - Employer Services |
Mental Health |
Claims Payment Dispute |
4 |
2 |
2019 |
Molina Healthcare of California |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2019 |
Molina Healthcare of California |
Ambulance |
Non-Contracted Providers |
3 |
2 |
2019 |
Molina Healthcare of California |
Durable Medical Equipment |
Dispute Resolution Problems |
15 |
2 |
2019 |
Molina Healthcare of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2019 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
168 |
2 |
2019 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
8 |
2 |
2019 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
38 |
2 |
2019 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Dispute Resolution Problems |
3 |
2 |
2019 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
8 |
2 |
2019 |
Molina Healthcare of California |
Pharmacy |
Claims Payment Dispute |
8 |
2 |
2019 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
7 |
2 |
2019 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
2 |
2019 |
Molina Healthcare of California Partner Plan, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
2 |
2019 |
Molina Healthcare of California Partner Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2019 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2019 |
Orange County Health Authority |
Pharmacy |
Claims Payment Dispute |
2 |
2 |
2019 |
Orange County Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2019 |
San Joaquin County Health Commission |
Hospital-Based Physician |
Non-Contracted Providers |
1 |
2 |
2019 |
San Joaquin County Health Commission |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2019 |
Santa Barbara San Luis Obispo Regional Health Authority |
Family/General Practice |
Dispute Resolution Problems |
7 |
2 |
2019 |
Santa Clara County |
Other Specialist Providers |
Claims Payment Dispute |
2 |
2 |
2019 |
Santa Cruz-Monterey-Merced-San Benito-Mariposa Managed Medical Care Commission |
Mental Health |
Overpayment/Refund Request |
1 |
2 |
2019 |
Sharp Health Plan |
Ambulance |
Dispute Resolution Problems |
1 |
2 |
2019 |
SilverScript Insurance Company |
Pharmacy |
Dispute Resolution Problems |
1 |
2 |
2019 |
U.S. Behavioral Health Plan, California |
Mental Health |
Claims Payment Dispute |
2 |
2 |
2019 |
U.S. Behavioral Health Plan, California |
Mental Health |
Dispute Resolution Problems |
1 |
2 |
2019 |
UHC of California |
Ambulance |
Claims Payment Dispute |
2 |
2 |
2019 |
UHC of California |
Ambulance |
Non-Contracted Providers |
3 |
2 |
2019 |
UHC of California |
ER Physician |
Claims Payment Dispute |
1 |
2 |
2019 |
UHC of California |
Home Health Services |
Dispute Resolution Problems |
1 |
2 |
2019 |
UHC of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2019 |
UHC of California |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
2 |
2019 |
UHC of California |
Laboratory Services |
Claims Payment Dispute |
3 |
2 |
2019 |
UHC of California |
Mental Health |
Claims Payment Dispute |
1 |
2 |
2019 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
5 |
2 |
2019 |
UHC of California |
Pharmacy |
Dispute Resolution Problems |
3 |
2 |
2019 |
UnitedHealthcare Benefits Plan of California |
Home Health Services |
Dispute Resolution Problems |
7 |
2 |
2019 |
UnitedHealthcare Benefits Plan of California |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
2 |
2019 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
4 |
2 |
2019 |
UnitedHealthcare Community Plan of California, Inc. |
Skilled Nursing Facility |
Non-Contracted Providers |
4 |
2 |
2019 |
Universal Care, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2019 |
WellCare of California, Inc. |
Home Health Services |
Claims Payment Dispute |
37 |
2 |
2019 |
WellCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2019 |
Aetna Better Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
3 |
2019 |
Aetna Health of California Inc. |
Ambulance |
Non-Contracted Providers |
2 |
3 |
2019 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
7 |
3 |
2019 |
Aetna Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
9 |
3 |
2019 |
Aetna Health of California Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
3 |
2019 |
Aetna Health of California Inc. |
Laboratory Services |
Claims Payment Dispute |
1 |
3 |
2019 |
Aetna Health of California Inc. |
Laboratory Services |
Non-Contracted Providers |
1 |
3 |
2019 |
Aetna Health of California Inc. |
Mental Health |
Claims Payment Dispute |
8 |
3 |
2019 |
Alameda Alliance For Health |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2019 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
4 |
3 |
2019 |
Blue Cross of California |
Anesthesiology |
Dispute Resolution Problems |
1 |
3 |
2019 |
Blue Cross of California |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
3 |
2019 |
Blue Cross of California |
Home Health Services |
Claims Payment Dispute |
50 |
3 |
2019 |
Blue Cross of California |
Home Health Services |
Non-Contracted Providers |
5 |
3 |
2019 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
3 |
3 |
2019 |
Blue Cross of California |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
3 |
2019 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
28 |
3 |
2019 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
19 |
3 |
2019 |
Blue Cross of California |
Hospital/Institutional |
Non-Contracted Providers |
4 |
3 |
2019 |
Blue Cross of California |
Hospital/Institutional |
Other |
3 |
3 |
2019 |
Blue Cross of California |
Internal Medicine |
Claims Payment Dispute |
3 |
3 |
2019 |
Blue Cross of California |
Laboratory Services |
Dispute Resolution Problems |
1 |
3 |
2019 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
37 |
3 |
2019 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
2 |
3 |
2019 |
Blue Cross of California |
OB/GYN |
Overpayment/Refund Request |
3 |
3 |
2019 |
Blue Cross of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
29 |
3 |
2019 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
67 |
3 |
2019 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2019 |
Blue Cross of California |
Pediatrics |
Claims Payment Dispute |
2 |
3 |
2019 |
Blue Cross of California |
Pharmacy |
Claims Payment Dispute |
8 |
3 |
2019 |
Blue Cross of California |
Pharmacy |
Dispute Resolution Problems |
1 |
3 |
2019 |
Blue Cross of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
15 |
3 |
2019 |
Blue Cross of California |
Physical/Speech/Occupational Therapy |
Other |
1 |
3 |
2019 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
21 |
3 |
2019 |
Blue Cross of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
3 |
2019 |
Blue Cross of California |
Vision |
Claims Payment Dispute |
1 |
3 |
2019 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2019 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2019 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
26 |
3 |
2019 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
23 |
3 |
2019 |
Blue Shield of California Promise Health Plan |
Mental Health |
Claims Payment Dispute |
6 |
3 |
2019 |
Blue Shield of California Promise Health Plan |
Mental Health |
Other |
1 |
3 |
2019 |
Blue Shield of California Promise Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
3 |
3 |
2019 |
Blue Shield of California Promise Health Plan |
Other Ancillary Service Providers |
Other |
3 |
3 |
2019 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
5 |
3 |
2019 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
9 |
3 |
2019 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
3 |
2019 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Non-Contracted Providers |
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 |
3 |
2019 |
Delta Dental of California |
Dental |
Other |
1 |
3 |
2019 |
Dignity Health Provider Resources, Inc. |
Home Health Services |
Claims Payment Dispute |
6 |
3 |
2019 |
Dignity Health Provider Resources, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2019 |
Fresno-Kings-Madera Regional Health Authority |
Ambulance |
Dispute Resolution Problems |
2 |
3 |
2019 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
3 |
3 |
2019 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
3 |
2019 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
4 |
3 |
2019 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2019 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2019 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
3 |
2019 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Overpayment/Refund Request |
1 |
3 |
2019 |
Health Net of California, Inc. |
Ambulance |
Claims Payment Dispute |
5 |
3 |
2019 |
Health Net of California, Inc. |
Ambulance |
Dispute Resolution Problems |
1 |
3 |
2019 |
Health Net of California, Inc. |
Ambulance |
Non-Contracted Providers |
1 |
3 |
2019 |
Health Net of California, Inc. |
Anesthesiology |
Claims Payment Dispute |
2 |
3 |
2019 |
Health Net of California, Inc. |
Anesthesiology |
Dispute Resolution Problems |
1 |
3 |
2019 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
7 |
3 |
2019 |
Health Net of California, Inc. |
Family/General Practice |
Claims Payment Dispute |
3 |
3 |
2019 |
Health Net of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
3 |
2019 |
Health Net of California, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
2 |
3 |
2019 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
19 |
3 |
2019 |
Health Net of California, Inc. |
Hospital/Institutional |
Contractual Issues |
1 |
3 |
2019 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
21 |
3 |
2019 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
3 |
2019 |
Health Net of California, Inc. |
Internal Medicine |
Claims Payment Dispute |
14 |
3 |
2019 |
Health Net of California, Inc. |
Mental Health |
Claims Payment Dispute |
7 |
3 |
2019 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
4 |
3 |
2019 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
40 |
3 |
2019 |
Health Net of California, Inc. |
Other Specialist Providers |
Contractual Issues |
1 |
3 |
2019 |
Health Net of California, Inc. |
Pharmacy |
Claims Payment Dispute |
21 |
3 |
2019 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
7 |
3 |
2019 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Overpayment/Refund Request |
3 |
3 |
2019 |
Holman Professional Counseling Centers |
Other Specialist Providers |
Dispute Resolution Problems |
26 |
3 |
2019 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
3 |
2019 |
Inland Empire Health Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
3 |
2019 |
Inland Empire Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2019 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2019 |
Inland Empire Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
6 |
3 |
2019 |
Inland Empire Health Plan |
Pharmacy |
Claims Payment Dispute |
1 |
3 |
2019 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
15 |
3 |
2019 |
Inter Valley Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
14 |
3 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
20 |
3 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
7 |
3 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Laboratory Services |
Non-Contracted Providers |
1 |
3 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
6 |
3 |
2019 |
Kaiser Foundation Health Plan, Inc. |
OB/GYN |
Claims Payment Dispute |
4 |
3 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
3 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Non-Contracted Providers |
1 |
3 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
4 |
3 |
2019 |
Kern Health Systems |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2019 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Claims Payment Dispute |
2 |
3 |
2019 |
L.A. Care Health Plan Joint Powers Authority |
Other Specialist Providers |
Claims Payment Dispute |
5 |
3 |
2019 |
L.A. Care Health Plan Joint Powers Authority |
Other Specialist Providers |
Contractual Issues |
1 |
3 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Anesthesiology |
Claims Payment Dispute |
2 |
3 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Claims Payment Dispute |
5 |
3 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Home Health Services |
Claims Payment Dispute |
1 |
3 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Hospital-Based Physician |
Claims Payment Dispute |
3 |
3 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
46 |
3 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
3 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Other |
1 |
3 |
2019 |
Local Initiative Health Authority for Los Angeles County |
OB/GYN |
Claims Payment Dispute |
1 |
3 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Claims Payment Dispute |
4 |
3 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
5 |
3 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
5 |
3 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Dispute Resolution Problems |
5 |
3 |
2019 |
Magellan Health Services of California, Inc. - Employer Services |
Mental Health |
Claims Payment Dispute |
5 |
3 |
2019 |
Medi-Excel, S.A. de C.V. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2019 |
Molina Healthcare of California |
Anesthesiology |
Dispute Resolution Problems |
1 |
3 |
2019 |
Molina Healthcare of California |
Durable Medical Equipment |
Dispute Resolution Problems |
16 |
3 |
2019 |
Molina Healthcare of California |
Home Health Services |
Claims Payment Dispute |
1 |
3 |
2019 |
Molina Healthcare of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2019 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
96 |
3 |
2019 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
8 |
3 |
2019 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2019 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
44 |
3 |
2019 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
18 |
3 |
2019 |
Molina Healthcare of California |
Pharmacy |
Claims Payment Dispute |
13 |
3 |
2019 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
3 |
2019 |
Molina Healthcare of California Partner Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
3 |
2019 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
11 |
3 |
2019 |
Orange County Health Authority |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
3 |
2019 |
Partnership HealthPlan of California |
OB/GYN |
Claims Payment Dispute |
3 |
3 |
2019 |
Prospect Health Plan, Inc. |
OB/GYN |
Claims Payment Dispute |
2 |
3 |
2019 |
Santa Clara County |
Other Specialist Providers |
Claims Payment Dispute |
7 |
3 |
2019 |
Santa Clara County Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2019 |
Scan Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
3 |
2019 |
Scan Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2019 |
Sutter Health Alliance |
Mental Health |
Claims Payment Dispute |
1 |
3 |
2019 |
U.S. Behavioral Health Plan, California |
Mental Health |
Claims Payment Dispute |
2 |
3 |
2019 |
UHC of California |
Ambulance |
Non-Contracted Providers |
2 |
3 |
2019 |
UHC of California |
Home Health Services |
Dispute Resolution Problems |
1 |
3 |
2019 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
2 |
3 |
2019 |
UHC of California |
Hospital/Institutional |
Dispute Resolution Problems |
5 |
3 |
2019 |
UHC of California |
Laboratory Services |
Claims Payment Dispute |
1 |
3 |
2019 |
UHC of California |
OB/GYN |
Claims Payment Dispute |
1 |
3 |
2019 |
UHC of California |
OB/GYN |
Dispute Resolution Problems |
2 |
3 |
2019 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2019 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
5 |
3 |
2019 |
UnitedHealthcare Community Plan of California, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2019 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
3 |
3 |
2019 |
Universal Care, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
3 |
2019 |
Universal Care, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
3 |
2019 |
WellCare of California, Inc. |
Home Health Services |
Claims Payment Dispute |
5 |
4 |
2019 |
Aetna Better Health of California Inc. |
Ambulance |
Dispute Resolution Problems |
1 |
4 |
2019 |
Aetna Better Health of California Inc. |
Hospital/Institutional |
Other |
1 |
4 |
2019 |
Aetna Better Health of California Inc. |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2019 |
Aetna Better Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2019 |
Aetna Health of California Inc. |
Ambulance |
Non-Contracted Providers |
5 |
4 |
2019 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
7 |
4 |
2019 |
Aetna Health of California Inc. |
Hospital/Institutional |
Unknown |
5 |
4 |
2019 |
Aetna Health of California Inc. |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2019 |
Aetna Health of California Inc. |
Mental Health |
Dispute Resolution Problems |
1 |
4 |
2019 |
Aetna Health of California Inc. |
On Call Physicians (Not ER) |
Non-Contracted Providers |
3 |
4 |
2019 |
Aetna Health of California Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
4 |
2019 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
3 |
4 |
2019 |
Aetna Health of California Inc. |
Other Specialist Providers |
Non-Contracted Providers |
1 |
4 |
2019 |
Aetna Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2019 |
AIDS Healthcare Foundation |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2019 |
Alameda Alliance For Health |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
4 |
2019 |
Alameda Alliance For Health |
Laboratory Services |
Dispute Resolution Problems |
6 |
4 |
2019 |
Alameda Alliance For Health |
Mental Health |
Claims Payment Dispute |
2 |
4 |
2019 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2019 |
Blue Cross of California |
Anesthesiology |
Claims Payment Dispute |
2 |
4 |
2019 |
Blue Cross of California |
Anesthesiology |
Dispute Resolution Problems |
1 |
4 |
2019 |
Blue Cross of California |
Chiropractic |
Dispute Resolution Problems |
9 |
4 |
2019 |
Blue Cross of California |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
4 |
2019 |
Blue Cross of California |
Family/General Practice |
Overpayment/Refund Request |
7 |
4 |
2019 |
Blue Cross of California |
Home Health Services |
Claims Payment Dispute |
4 |
4 |
2019 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
5 |
4 |
2019 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
43 |
4 |
2019 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
157 |
4 |
2019 |
Blue Cross of California |
Hospital/Institutional |
Other |
2 |
4 |
2019 |
Blue Cross of California |
Hospital/Institutional |
Unknown |
11 |
4 |
2019 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
6 |
4 |
2019 |
Blue Cross of California |
Mental Health |
Unknown |
5 |
4 |
2019 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
1 |
4 |
2019 |
Blue Cross of California |
On Call Physicians (Not ER) |
Non-Contracted Providers |
61 |
4 |
2019 |
Blue Cross of California |
On Call Physicians (Not ER) |
Unknown |
1 |
4 |
2019 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
14 |
4 |
2019 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
20 |
4 |
2019 |
Blue Cross of California |
Other Specialist Providers |
Non-Contracted Providers |
17 |
4 |
2019 |
Blue Cross of California |
Other Specialist Providers |
Overpayment/Refund Request |
3 |
4 |
2019 |
Blue Cross of California |
Pediatrics |
Claims Payment Dispute |
3 |
4 |
2019 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
14 |
4 |
2019 |
Blue Cross of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
4 |
4 |
2019 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
19 |
4 |
2019 |
Blue Shield of California Promise Health Plan |
Ambulance |
Claims Payment Dispute |
6 |
4 |
2019 |
Blue Shield of California Promise Health Plan |
Ambulance |
Dispute Resolution Problems |
2 |
4 |
2019 |
Blue Shield of California Promise Health Plan |
Anesthesiology |
Claims Payment Dispute |
2 |
4 |
2019 |
Blue Shield of California Promise Health Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
33 |
4 |
2019 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
3 |
4 |
2019 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
4 |
4 |
2019 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
3 |
4 |
2019 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
23 |
4 |
2019 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
15 |
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 |
4 |
2019 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
3 |
4 |
2019 |
Delta Dental of California |
Dental |
Contractual Issues |
2 |
4 |
2019 |
Delta Dental of California |
Dental |
Overpayment/Refund Request |
1 |
4 |
2019 |
Health Net Community Solutions, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2019 |
Health Net Community Solutions, Inc. |
Ambulance |
Dispute Resolution Problems |
1 |
4 |
2019 |
Health Net Community Solutions, Inc. |
Ambulance |
Non-Contracted Providers |
2 |
4 |
2019 |
Health Net Community Solutions, Inc. |
Home Health Services |
Claims Payment Dispute |
1 |
4 |
2019 |
Health Net Community Solutions, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
4 |
2019 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
67 |
4 |
2019 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
11 |
4 |
2019 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Other |
5 |
4 |
2019 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
7 |
4 |
2019 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
18 |
4 |
2019 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Overpayment/Refund Request |
1 |
4 |
2019 |
Health Net Community Solutions, Inc. |
Vision |
Dispute Resolution Problems |
1 |
4 |
2019 |
Health Net Community Solutions, Inc. |
Vision |
Overpayment/Refund Request |
1 |
4 |
2019 |
Health Net of California, Inc. |
Ambulance |
Claims Payment Dispute |
18 |
4 |
2019 |
Health Net of California, Inc. |
Ambulance |
Dispute Resolution Problems |
7 |
4 |
2019 |
Health Net of California, Inc. |
Anesthesiology |
Claims Payment Dispute |
2 |
4 |
2019 |
Health Net of California, Inc. |
Anesthesiology |
Dispute Resolution Problems |
1 |
4 |
2019 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
4 |
4 |
2019 |
Health Net of California, Inc. |
Family/General Practice |
Claims Payment Dispute |
1 |
4 |
2019 |
Health Net of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
6 |
4 |
2019 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
118 |
4 |
2019 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
25 |
4 |
2019 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
20 |
4 |
2019 |
Health Net of California, Inc. |
Hospital/Institutional |
Other |
9 |
4 |
2019 |
Health Net of California, Inc. |
Hospital/Institutional |
Unknown |
4 |
4 |
2019 |
Health Net of California, Inc. |
Mental Health |
Claims Payment Dispute |
3 |
4 |
2019 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
4 |
2019 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
4 |
4 |
2019 |
Health Net of California, Inc. |
Other Specialist Providers |
Non-Contracted Providers |
1 |
4 |
2019 |
Health Net of California, Inc. |
Pharmacy |
Claims Payment Dispute |
1 |
4 |
2019 |
Health Net of California, Inc. |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
11 |
4 |
2019 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
5 |
4 |
2019 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
5 |
4 |
2019 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Overpayment/Refund Request |
3 |
4 |
2019 |
Holman Professional Counseling Centers |
Mental Health |
Claims Payment Dispute |
2 |
4 |
2019 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2019 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2019 |
Inland Empire Health Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
4 |
2019 |
Inland Empire Health Plan |
OB/GYN |
Claims Payment Dispute |
2 |
4 |
2019 |
Inland Empire Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
22 |
4 |
2019 |
Inland Empire Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
7 |
4 |
2019 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
4 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
18 |
4 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
9 |
4 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Laboratory Services |
Non-Contracted Providers |
1 |
4 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
10 |
4 |
2019 |
Kaiser Foundation Health Plan, Inc. |
OB/GYN |
Claims Payment Dispute |
1 |
4 |
2019 |
Kaiser Foundation Health Plan, Inc. |
On Call Physicians (Not ER) |
Claims Payment Dispute |
1 |
4 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Non-Contracted Providers |
2 |
4 |
2019 |
Kaiser Foundation Health Plan, Inc. |
Skilled Nursing Facility |
Overpayment/Refund Request |
2 |
4 |
2019 |
Kern Health Systems |
Internal Medicine |
Claims Payment Dispute |
1 |
4 |
2019 |
Kern Health Systems |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Dispute Resolution Problems |
1 |
4 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Anesthesiology |
Claims Payment Dispute |
4 |
4 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Anesthesiology |
Dispute Resolution Problems |
1 |
4 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Claims Payment Dispute |
13 |
4 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Dispute Resolution Problems |
14 |
4 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Home Health Services |
Claims Payment Dispute |
1 |
4 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
4 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
47 |
4 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
4 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Unknown |
1 |
4 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Dispute Resolution Problems |
3 |
4 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
10 |
4 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
4 |
2019 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
4 |
2019 |
Magellan Health Services of California, Inc. - Employer Services |
Mental Health |
Claims Payment Dispute |
2 |
4 |
2019 |
Magellan Health Services of California, Inc. - Employer Services |
Mental Health |
Overpayment/Refund Request |
2 |
4 |
2019 |
Molina Healthcare of California |
Ambulance |
Claims Payment Dispute |
9 |
4 |
2019 |
Molina Healthcare of California |
Ambulance |
Dispute Resolution Problems |
3 |
4 |
2019 |
Molina Healthcare of California |
Anesthesiology |
Claims Payment Dispute |
2 |
4 |
2019 |
Molina Healthcare of California |
Durable Medical Equipment |
Dispute Resolution Problems |
12 |
4 |
2019 |
Molina Healthcare of California |
Family/General Practice |
Claims Payment Dispute |
5 |
4 |
2019 |
Molina Healthcare of California |
Family/General Practice |
Contractual Issues |
1 |
4 |
2019 |
Molina Healthcare of California |
Home Health Services |
Claims Payment Dispute |
1 |
4 |
2019 |
Molina Healthcare of California |
Hospital-Based Physician |
Claims Payment Dispute |
3 |
4 |
2019 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
71 |
4 |
2019 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2019 |
Molina Healthcare of California |
Hospital/Institutional |
Other |
2 |
4 |
2019 |
Molina Healthcare of California |
Hospital/Institutional |
Unknown |
3 |
4 |
2019 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
60 |
4 |
2019 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Dispute Resolution Problems |
2 |
4 |
2019 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2019 |
Molina Healthcare of California |
Other Specialist Providers |
Contractual Issues |
8 |
4 |
2019 |
Molina Healthcare of California |
Other Specialist Providers |
Non-Contracted Providers |
1 |
4 |
2019 |
Molina Healthcare of California |
Pharmacy |
Claims Payment Dispute |
112 |
4 |
2019 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
14 |
4 |
2019 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
12 |
4 |
2019 |
Molina Healthcare of California Partner Plan, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
41 |
4 |
2019 |
Molina Healthcare of California Partner Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
3 |
4 |
2019 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2019 |
Orange County Health Authority |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
4 |
2019 |
Orange County Health Authority |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2019 |
Orange County Health Authority |
Hospital/Institutional |
Other |
3 |
4 |
2019 |
Orange County Health Authority |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2019 |
Orange County Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2019 |
Premier Health Plan Services, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2019 |
San Francisco Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2019 |
Santa Barbara San Luis Obispo Regional Health Authority |
Skilled Nursing Facility |
Other |
4 |
4 |
2019 |
Santa Clara County |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2019 |
Santa Clara County |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
4 |
2019 |
Santa Clara County Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
4 |
2019 |
Scan Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
10 |
4 |
2019 |
Scan Health Plan |
Skilled Nursing Facility |
Overpayment/Refund Request |
2 |
4 |
2019 |
Sharp Health Plan |
Laboratory Services |
Non-Contracted Providers |
1 |
4 |
2019 |
UHC of California |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2019 |
UHC of California |
Ambulance |
Non-Contracted Providers |
2 |
4 |
2019 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
9 |
4 |
2019 |
UHC of California |
Hospital/Institutional |
Other |
1 |
4 |
2019 |
UHC of California |
Hospital/Institutional |
Unknown |
3 |
4 |
2019 |
UHC of California |
Laboratory Services |
Claims Payment Dispute |
1 |
4 |
2019 |
UHC of California |
Laboratory Services |
Dispute Resolution Problems |
1 |
4 |
2019 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
4 |
4 |
2019 |
UHC of California |
Other Specialist Providers |
Non-Contracted Providers |
1 |
4 |
2019 |
UnitedHealthcare Benefits Plan of California |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
4 |
2019 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Other |
1 |
4 |
2019 |
UnitedHealthcare Benefits Plan of California |
On Call Physicians (Not ER) |
Claims Payment Dispute |
1 |
4 |
2019 |
UnitedHealthcare Community Plan of California, Inc. |
Ambulance |
Dispute Resolution Problems |
1 |
4 |
2019 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
9 |
4 |
2019 |
UnitedHealthcare Community Plan of California, Inc. |
OB/GYN |
Dispute Resolution Problems |
2 |
4 |
2019 |
Universal Care, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
4 |
2019 |
Universal Care, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2019 |
WellCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
4 |
2019 |
Western Health Advantage |
Mental Health |
Overpayment/Refund Request |
3 |
1 |
2020 |
Aetna Better Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2020 |
Aetna Better Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
7 |
1 |
2020 |
Aetna Better Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2020 |
Aetna Better Health of California Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
6 |
1 |
2020 |
Aetna Better Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2020 |
Aetna Dental of California Inc. |
Dental |
Claims Payment Dispute |
1 |
1 |
2020 |
Aetna Dental of California Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2020 |
Aetna Health of California Inc. |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2020 |
Aetna Health of California Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
1 |
2020 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
21 |
1 |
2020 |
Aetna Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
1 |
2020 |
Aetna Health of California Inc. |
Hospital/Institutional |
Other |
2 |
1 |
2020 |
Aetna Health of California Inc. |
Mental Health |
Claims Payment Dispute |
2 |
1 |
2020 |
Aetna Health of California Inc. |
On Call Physicians (Not ER) |
Non-Contracted Providers |
17 |
1 |
2020 |
Aetna Health of California Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2020 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
10 |
1 |
2020 |
Aetna Health of California Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2020 |
Aetna Health of California Inc. |
Physical/Speech/Occupational Therapy |
Overpayment/Refund Request |
1 |
1 |
2020 |
AIDS Healthcare Foundation |
Hospital/Institutional |
Unknown |
1 |
1 |
2020 |
Alameda Alliance For Health |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
1 |
2020 |
Alameda Alliance For Health |
Mental Health |
Claims Payment Dispute |
11 |
1 |
2020 |
Alameda Alliance For Health |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
1 |
2020 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
5 |
1 |
2020 |
Blue Cross of California |
Ambulance |
Non-Contracted Providers |
3 |
1 |
2020 |
Blue Cross of California |
Ambulance |
Other |
1 |
1 |
2020 |
Blue Cross of California |
Anesthesiology |
Dispute Resolution Problems |
1 |
1 |
2020 |
Blue Cross of California |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2020 |
Blue Cross of California |
Family/General Practice |
Claims Payment Dispute |
1 |
1 |
2020 |
Blue Cross of California |
Home Health Services |
Claims Payment Dispute |
24 |
1 |
2020 |
Blue Cross of California |
Home Health Services |
Contractual Issues |
1 |
1 |
2020 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
3 |
1 |
2020 |
Blue Cross of California |
Hospital-Based Physician |
Dispute Resolution Problems |
10 |
1 |
2020 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
35 |
1 |
2020 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
83 |
1 |
2020 |
Blue Cross of California |
Hospital/Institutional |
Non-Contracted Providers |
5 |
1 |
2020 |
Blue Cross of California |
Hospital/Institutional |
Other |
1 |
1 |
2020 |
Blue Cross of California |
Internal Medicine |
Claims Payment Dispute |
2 |
1 |
2020 |
Blue Cross of California |
Laboratory Services |
Claims Payment Dispute |
1 |
1 |
2020 |
Blue Cross of California |
Laboratory Services |
Non-Contracted Providers |
1 |
1 |
2020 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
42 |
1 |
2020 |
Blue Cross of California |
Mental Health |
Dispute Resolution Problems |
11 |
1 |
2020 |
Blue Cross of California |
Mental Health |
Other |
1 |
1 |
2020 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
1 |
1 |
2020 |
Blue Cross of California |
On Call Physicians (Not ER) |
Non-Contracted Providers |
67 |
1 |
2020 |
Blue Cross of California |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
1 |
2020 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
21 |
1 |
2020 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
6 |
1 |
2020 |
Blue Cross of California |
Other Specialist Providers |
Non-Contracted Providers |
7 |
1 |
2020 |
Blue Cross of California |
Other Specialist Providers |
Other |
1 |
1 |
2020 |
Blue Cross of California |
Pediatrics |
Claims Payment Dispute |
4 |
1 |
2020 |
Blue Cross of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
15 |
1 |
2020 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
7 |
1 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Durable Medical Equipment |
Non-Contracted Providers |
13 |
1 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Family/General Practice |
Claims Payment Dispute |
1 |
1 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
11 |
1 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Other |
2 |
1 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Pediatrics |
Claims Payment Dispute |
1 |
1 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
1 |
2020 |
Blue Shield of California Promise Health Plan |
Anesthesiology |
Dispute Resolution Problems |
1 |
1 |
2020 |
Blue Shield of California Promise Health Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
6 |
1 |
2020 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
16 |
1 |
2020 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2020 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2020 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Other |
1 |
1 |
2020 |
Blue Shield of California Promise Health Plan |
Laboratory Services |
Dispute Resolution Problems |
1 |
1 |
2020 |
Blue Shield of California Promise Health Plan |
Mental Health |
Claims Payment Dispute |
3 |
1 |
2020 |
Blue Shield of California Promise Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2020 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
3 |
1 |
2020 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
3 |
1 |
2020 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
1 |
2020 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Contractual Issues |
1 |
1 |
2020 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
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 |
1 |
2020 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
1 |
1 |
2020 |
Delta Dental of California |
Dental |
Dispute Resolution Problems |
1 |
1 |
2020 |
Delta Dental of California |
Dental |
Overpayment/Refund Request |
1 |
1 |
2020 |
Evernorth Behavioral Health of California, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2020 |
Fresno-Kings-Madera Regional Health Authority |
Home Health Services |
Claims Payment Dispute |
4 |
1 |
2020 |
Health Net Community Solutions, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
1 |
2020 |
Health Net Community Solutions, Inc. |
Ambulance |
Dispute Resolution Problems |
3 |
1 |
2020 |
Health Net Community Solutions, Inc. |
Ambulance |
Non-Contracted Providers |
3 |
1 |
2020 |
Health Net Community Solutions, Inc. |
Home Health Services |
Claims Payment Dispute |
1 |
1 |
2020 |
Health Net Community Solutions, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
14 |
1 |
2020 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
33 |
1 |
2020 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
1 |
2020 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
10 |
1 |
2020 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Other |
6 |
1 |
2020 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
7 |
1 |
2020 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
20 |
1 |
2020 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2020 |
Health Net Community Solutions, Inc. |
Pharmacy |
Claims Payment Dispute |
5 |
1 |
2020 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
9 |
1 |
2020 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
5 |
1 |
2020 |
Health Net Community Solutions, Inc. |
Vision |
Claims Payment Dispute |
1 |
1 |
2020 |
Health Net Community Solutions, Inc. |
Vision |
Dispute Resolution Problems |
1 |
1 |
2020 |
Health Net Health Plan of Oregon, Inc. |
Hospital-Based Physician |
Other |
1 |
1 |
2020 |
Health Net of California, Inc. |
Ambulance |
Claims Payment Dispute |
2 |
1 |
2020 |
Health Net of California, Inc. |
Ambulance |
Non-Contracted Providers |
2 |
1 |
2020 |
Health Net of California, Inc. |
Family/General Practice |
Claims Payment Dispute |
2 |
1 |
2020 |
Health Net of California, Inc. |
Home Health Services |
Claims Payment Dispute |
1 |
1 |
2020 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
52 |
1 |
2020 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
1 |
2020 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
3 |
1 |
2020 |
Health Net of California, Inc. |
Hospital/Institutional |
Other |
13 |
1 |
2020 |
Health Net of California, Inc. |
Laboratory Services |
Claims Payment Dispute |
1 |
1 |
2020 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
33 |
1 |
2020 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
7 |
1 |
2020 |
Health Net of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
9 |
1 |
2020 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2020 |
HealthCare Partners Medical Plan, Llc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2020 |
Heritage Provider Network, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2020 |
Heritage Provider Network, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2020 |
Holman Professional Counseling Centers |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2020 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
5 |
1 |
2020 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2020 |
Imperial Health Plan of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
8 |
1 |
2020 |
Inland Empire Health Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
2 |
1 |
2020 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2020 |
Inland Empire Health Plan |
OB/GYN |
Claims Payment Dispute |
1 |
1 |
2020 |
Inland Empire Health Plan |
On Call Physicians (Not ER) |
Claims Payment Dispute |
1 |
1 |
2020 |
Inland Empire Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
3 |
1 |
2020 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2020 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
1 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
2 |
1 |
2020 |
Kaiser Foundation Health Plan, Inc. |
ER Physician |
Claims Payment Dispute |
1 |
1 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Hospital-Based Physician |
Non-Contracted Providers |
2 |
1 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
19 |
1 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Laboratory Services |
Non-Contracted Providers |
2 |
1 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
5 |
1 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Unknown |
5 |
1 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Pediatrics |
Claims Payment Dispute |
2 |
1 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Skilled Nursing Facility |
Overpayment/Refund Request |
2 |
1 |
2020 |
Kern Health Systems |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2020 |
Kern Health Systems |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
2 |
1 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Anesthesiology |
Claims Payment Dispute |
3 |
1 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Anesthesiology |
Dispute Resolution Problems |
4 |
1 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
1 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
1 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Non-Contracted Providers |
2 |
1 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Home Health Services |
Claims Payment Dispute |
6 |
1 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
1 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
20 |
1 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Other |
2 |
1 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Unknown |
1 |
1 |
2020 |
Local Initiative Health Authority for Los Angeles County |
OB/GYN |
Claims Payment Dispute |
2 |
1 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Claims Payment Dispute |
9 |
1 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Dispute Resolution Problems |
2 |
1 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
7 |
1 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Overpayment/Refund Request |
1 |
1 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Unknown |
1 |
1 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
28 |
1 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
1 |
2020 |
Magellan Health Services of California, Inc. - Employer Services |
Mental Health |
Claims Payment Dispute |
4 |
1 |
2020 |
Magellan Health Services of California, Inc. - Employer Services |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2020 |
Managed Health Network |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2020 |
Molina Healthcare of California |
Ambulance |
Claims Payment Dispute |
1 |
1 |
2020 |
Molina Healthcare of California |
Durable Medical Equipment |
Dispute Resolution Problems |
34 |
1 |
2020 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
69 |
1 |
2020 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
7 |
1 |
2020 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
10 |
1 |
2020 |
Molina Healthcare of California |
Hospital/Institutional |
Other |
3 |
1 |
2020 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
55 |
1 |
2020 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
6 |
1 |
2020 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
11 |
1 |
2020 |
Molina Healthcare of California |
Pharmacy |
Claims Payment Dispute |
19 |
1 |
2020 |
Molina Healthcare of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
1 |
1 |
2020 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
27 |
1 |
2020 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
10 |
1 |
2020 |
Monarch Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2020 |
Optum Health Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2020 |
Orange County Health Authority |
Home Health Services |
Claims Payment Dispute |
10 |
1 |
2020 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
3 |
1 |
2020 |
Orange County Health Authority |
Other Specialist Providers |
Other |
1 |
1 |
2020 |
Orange County Health Authority |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
1 |
2020 |
Oscar Health Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2020 |
Partnership HealthPlan of California |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2020 |
Partnership HealthPlan of California |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2020 |
Preferred Administrators, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2020 |
Preferred Administrators, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2020 |
Prospect Health Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2020 |
San Francisco Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2020 |
San Joaquin County Health Commission |
Hospital/Institutional |
Claims Payment Dispute |
52 |
1 |
2020 |
Scan Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2020 |
Scan Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
7 |
1 |
2020 |
UHC of California |
Ambulance |
Non-Contracted Providers |
2 |
1 |
2020 |
UHC of California |
Home Health Services |
Dispute Resolution Problems |
3 |
1 |
2020 |
UHC of California |
Hospital-Based Physician |
Claims Payment Dispute |
27 |
1 |
2020 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2020 |
UHC of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2020 |
UHC of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2020 |
UHC of California |
OB/GYN |
Claims Payment Dispute |
1 |
1 |
2020 |
UHC of California |
OB/GYN |
Dispute Resolution Problems |
2 |
1 |
2020 |
UHC of California |
On Call Physicians (Not ER) |
Non-Contracted Providers |
9 |
1 |
2020 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
40 |
1 |
2020 |
UHC of California |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
1 |
2020 |
UHC of California |
Pediatrics |
Dispute Resolution Problems |
1 |
1 |
2020 |
UnitedHealthcare Benefits Plan of California |
Dental |
Claims Payment Dispute |
1 |
1 |
2020 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2020 |
UnitedHealthcare Benefits Plan of California |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2020 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Dispute Resolution Problems |
5 |
1 |
2020 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
8 |
1 |
2020 |
UnitedHealthcare Community Plan of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
1 |
2020 |
Universal Care, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2020 |
WellCare of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2020 |
Aetna Better Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2020 |
Aetna Better Health of California Inc. |
Mental Health |
Contractual Issues |
3 |
2 |
2020 |
Aetna Better Health of California Inc. |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
2 |
2020 |
Aetna Better Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
2 |
2020 |
Aetna Health of California Inc. |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2020 |
Aetna Health of California Inc. |
Ambulance |
Non-Contracted Providers |
2 |
2 |
2020 |
Aetna Health of California Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
2 |
2020 |
Aetna Health of California Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2020 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
3 |
2 |
2020 |
Aetna Health of California Inc. |
OB/GYN |
Claims Payment Dispute |
2 |
2 |
2020 |
Aetna Health of California Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
2 |
2020 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
5 |
2 |
2020 |
Aetna Health of California Inc. |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
5 |
2 |
2020 |
Alameda Alliance For Health |
Durable Medical Equipment |
Dispute Resolution Problems |
7 |
2 |
2020 |
Alameda Alliance For Health |
Hospital/Institutional |
Claims Payment Dispute |
12 |
2 |
2020 |
Alameda Alliance For Health |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2020 |
Alameda Alliance For Health |
Mental Health |
Claims Payment Dispute |
35 |
2 |
2020 |
Blue Cross of California |
Ambulance |
Non-Contracted Providers |
2 |
2 |
2020 |
Blue Cross of California |
Anesthesiology |
Claims Payment Dispute |
3 |
2 |
2020 |
Blue Cross of California |
Durable Medical Equipment |
Claims Payment Dispute |
4 |
2 |
2020 |
Blue Cross of California |
Home Health Services |
Claims Payment Dispute |
7 |
2 |
2020 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
2 |
2020 |
Blue Cross of California |
Hospital-Based Physician |
Non-Contracted Providers |
2 |
2 |
2020 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
65 |
2 |
2020 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
44 |
2 |
2020 |
Blue Cross of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2020 |
Blue Cross of California |
Hospital/Institutional |
Other |
1 |
2 |
2020 |
Blue Cross of California |
Hospital/Institutional |
Overpayment/Refund Request |
2 |
2 |
2020 |
Blue Cross of California |
Internal Medicine |
Claims Payment Dispute |
1 |
2 |
2020 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
25 |
2 |
2020 |
Blue Cross of California |
Mental Health |
Dispute Resolution Problems |
2 |
2 |
2020 |
Blue Cross of California |
Mental Health |
Other |
1 |
2 |
2020 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
4 |
2 |
2020 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
7 |
2 |
2020 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
5 |
2 |
2020 |
Blue Cross of California |
Other Specialist Providers |
Other |
1 |
2 |
2020 |
Blue Cross of California |
Pediatrics |
Claims Payment Dispute |
1 |
2 |
2020 |
Blue Cross of California |
Pharmacy |
Dispute Resolution Problems |
10 |
2 |
2020 |
Blue Cross of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
1 |
2 |
2020 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
5 |
2 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Home Health Services |
Claims Payment Dispute |
5 |
2 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
12 |
2 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Other |
2 |
2 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
2 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
2 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
2 |
2020 |
Blue Shield of California Promise Health Plan |
Anesthesiology |
Claims Payment Dispute |
1 |
2 |
2020 |
Blue Shield of California Promise Health Plan |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
2 |
2020 |
Blue Shield of California Promise Health Plan |
Family/General Practice |
Claims Payment Dispute |
1 |
2 |
2020 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
14 |
2 |
2020 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
2 |
2020 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
2 |
2 |
2020 |
Blue Shield of California Promise Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
2 |
2020 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
4 |
2 |
2020 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
2 |
2020 |
Blue Shield of California Promise Health Plan |
Pharmacy |
Claims Payment Dispute |
1 |
2 |
2020 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
2 |
2020 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
4 |
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 |
2 |
2020 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
1 |
2 |
2020 |
Delta Dental of California |
Dental |
Overpayment/Refund Request |
4 |
2 |
2020 |
Fresno-Kings-Madera Regional Health Authority |
Pharmacy |
Dispute Resolution Problems |
21 |
2 |
2020 |
Fresno-Kings-Madera Regional Health Authority |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
1 |
2 |
2020 |
Golden State Medicare Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2020 |
Health Net Community Solutions, Inc. |
Ambulance |
Claims Payment Dispute |
3 |
2 |
2020 |
Health Net Community Solutions, Inc. |
Anesthesiology |
Claims Payment Dispute |
2 |
2 |
2020 |
Health Net Community Solutions, Inc. |
Chiropractic |
Claims Payment Dispute |
1 |
2 |
2020 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
2 |
2020 |
Health Net Community Solutions, Inc. |
Home Health Services |
Claims Payment Dispute |
3 |
2 |
2020 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
22 |
2 |
2020 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
5 |
2 |
2020 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Other |
2 |
2 |
2020 |
Health Net Community Solutions, Inc. |
Mental Health |
Other |
2 |
2 |
2020 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
24 |
2 |
2020 |
Health Net Community Solutions, Inc. |
Pharmacy |
Claims Payment Dispute |
2 |
2 |
2020 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
6 |
2 |
2020 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
5 |
2 |
2020 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Overpayment/Refund Request |
1 |
2 |
2020 |
Health Net of California, Inc. |
Ambulance |
Non-Contracted Providers |
1 |
2 |
2020 |
Health Net of California, Inc. |
Chiropractic |
Claims Payment Dispute |
3 |
2 |
2020 |
Health Net of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2020 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
6 |
2 |
2020 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2020 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2020 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
44 |
2 |
2020 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
2 |
2020 |
Health Net of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
3 |
2 |
2020 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
2 |
2020 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
4 |
2 |
2020 |
Heritage Provider Network, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
2 |
2020 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
2 |
2020 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2020 |
Inland Empire Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2020 |
Inland Empire Health Plan |
OB/GYN |
Claims Payment Dispute |
6 |
2 |
2020 |
Inland Empire Health Plan |
OB/GYN |
Dispute Resolution Problems |
1 |
2 |
2020 |
Inland Empire Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
3 |
2 |
2020 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2020 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
2 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Home Health Services |
Dispute Resolution Problems |
23 |
2 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
2 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
38 |
2 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
2 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Laboratory Services |
Non-Contracted Providers |
1 |
2 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
3 |
2 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Unknown |
1 |
2 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Pediatrics |
Claims Payment Dispute |
1 |
2 |
2020 |
Kern Health Systems |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2020 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2020 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Other |
1 |
2 |
2020 |
L.A. Care Health Plan Joint Powers Authority |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2020 |
L.A. Care Health Plan Joint Powers Authority |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
2 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
11 |
2 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Dispute Resolution Problems |
1 |
2 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Claims Payment Dispute |
17 |
2 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Dispute Resolution Problems |
5 |
2 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Home Health Services |
Claims Payment Dispute |
1 |
2 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
52 |
2 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Non-Contracted Providers |
7 |
2 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Other |
2 |
2 |
2020 |
Local Initiative Health Authority for Los Angeles County |
OB/GYN |
Claims Payment Dispute |
1 |
2 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
12 |
2 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
2 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Overpayment/Refund Request |
20 |
2 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
5 |
2 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Dispute Resolution Problems |
13 |
2 |
2020 |
Los Angeles County Department of Health Services |
Home Health Services |
Claims Payment Dispute |
1 |
2 |
2020 |
Los Angeles County Department of Health Services |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2020 |
Molina Healthcare of California |
Durable Medical Equipment |
Dispute Resolution Problems |
3 |
2 |
2020 |
Molina Healthcare of California |
Home Health Services |
Claims Payment Dispute |
1 |
2 |
2020 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
69 |
2 |
2020 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
2 |
2020 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2020 |
Molina Healthcare of California |
Hospital/Institutional |
Other |
2 |
2 |
2020 |
Molina Healthcare of California |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
2 |
2020 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
17 |
2 |
2020 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
8 |
2 |
2020 |
Molina Healthcare of California |
Pharmacy |
Claims Payment Dispute |
51 |
2 |
2020 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
12 |
2 |
2020 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
2 |
2020 |
Orange County Health Authority |
Home Health Services |
Claims Payment Dispute |
7 |
2 |
2020 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2020 |
Orange County Health Authority |
Other Ancillary Service Providers |
Contractual Issues |
5 |
2 |
2020 |
Orange County Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
2 |
2020 |
Partnership HealthPlan of California |
OB/GYN |
Claims Payment Dispute |
2 |
2 |
2020 |
San Joaquin County Health Commission |
Hospital/Institutional |
Claims Payment Dispute |
12 |
2 |
2020 |
San Joaquin County Health Commission |
Hospital/Institutional |
Contractual Issues |
74 |
2 |
2020 |
San Joaquin County Health Commission |
Hospital/Institutional |
Other |
24 |
2 |
2020 |
San Joaquin County Health Commission |
OB/GYN |
Non-Contracted Providers |
1 |
2 |
2020 |
San Joaquin County Health Commission |
Other Ancillary Service Providers |
Claims Payment Dispute |
14 |
2 |
2020 |
San Joaquin County Health Commission |
Other Specialist Providers |
Claims Payment Dispute |
14 |
2 |
2020 |
San Joaquin County Health Commission |
Pediatrics |
Claims Payment Dispute |
3 |
2 |
2020 |
San Joaquin County Health Commission |
Skilled Nursing Facility |
Claims Payment Dispute |
19 |
2 |
2020 |
Santa Barbara San Luis Obispo Regional Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2020 |
Santa Cruz-Monterey-Merced-San Benito-Mariposa Managed Medical Care Commission |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2020 |
Scan Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
2 |
2020 |
Scripps Health Plan Services, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2020 |
Sutter Health Alliance |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
2 |
2020 |
U.S. Behavioral Health Plan, California |
Mental Health |
Non-Contracted Providers |
1 |
2 |
2020 |
U.S. Behavioral Health Plan, California |
Other Specialist Providers |
Non-Contracted Providers |
1 |
2 |
2020 |
UHC of California |
Anesthesiology |
Claims Payment Dispute |
1 |
2 |
2020 |
UHC of California |
Home Health Services |
Dispute Resolution Problems |
2 |
2 |
2020 |
UHC of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2020 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
5 |
2 |
2020 |
UHC of California |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
2 |
2020 |
UHC of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2020 |
UHC of California |
Internal Medicine |
Non-Contracted Providers |
1 |
2 |
2020 |
UHC of California |
OB/GYN |
Claims Payment Dispute |
2 |
2 |
2020 |
UHC of California |
Other Ancillary Service Providers |
Other |
1 |
2 |
2020 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
9 |
2 |
2020 |
UHC of California |
Other Specialist Providers |
Non-Contracted Providers |
1 |
2 |
2020 |
UHC of California |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2020 |
United Concordia Dental Plans of California, Inc. |
Dental |
Claims Payment Dispute |
1 |
2 |
2020 |
UnitedHealthcare Benefits Plan of California |
Home Health Services |
Dispute Resolution Problems |
2 |
2 |
2020 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2020 |
UnitedHealthcare Community Plan of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
2 |
2020 |
Universal Care, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2020 |
Universal Care, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
6 |
2 |
2020 |
Western Health Advantage |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
3 |
2020 |
Aetna Better Health of California Inc. |
Ambulance |
Non-Contracted Providers |
1 |
3 |
2020 |
Aetna Better Health of California Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2020 |
Aetna Better Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2020 |
Aetna Better Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
3 |
2020 |
Aetna Better Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2020 |
Aetna Health of California Inc. |
Ambulance |
Dispute Resolution Problems |
1 |
3 |
2020 |
Aetna Health of California Inc. |
Ambulance |
Non-Contracted Providers |
1 |
3 |
2020 |
Aetna Health of California Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
3 |
2020 |
Aetna Health of California Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
6 |
3 |
2020 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
9 |
3 |
2020 |
Aetna Health of California Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2020 |
Aetna Health of California Inc. |
Mental Health |
Claims Payment Dispute |
3 |
3 |
2020 |
Aetna Health of California Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
3 |
3 |
2020 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
3 |
2020 |
Aetna Health of California Inc. |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
1 |
3 |
2020 |
Aetna Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
3 |
2020 |
Aetna Health of California Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
3 |
2020 |
Alameda Alliance For Health |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
3 |
2020 |
Alameda Alliance For Health |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2020 |
AltaMed Health Network, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
3 |
2020 |
Blue Cross of California |
Ambulance |
Non-Contracted Providers |
3 |
3 |
2020 |
Blue Cross of California |
Anesthesiology |
Claims Payment Dispute |
2 |
3 |
2020 |
Blue Cross of California |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
3 |
2020 |
Blue Cross of California |
Durable Medical Equipment |
Dispute Resolution Problems |
18 |
3 |
2020 |
Blue Cross of California |
Home Health Services |
Claims Payment Dispute |
1 |
3 |
2020 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
43 |
3 |
2020 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
7 |
3 |
2020 |
Blue Cross of California |
Hospital/Institutional |
Non-Contracted Providers |
2 |
3 |
2020 |
Blue Cross of California |
Hospital/Institutional |
Other |
1 |
3 |
2020 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
11 |
3 |
2020 |
Blue Cross of California |
Mental Health |
Dispute Resolution Problems |
3 |
3 |
2020 |
Blue Cross of California |
Mental Health |
Non-Contracted Providers |
2 |
3 |
2020 |
Blue Cross of California |
Mental Health |
Other |
1 |
3 |
2020 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
1 |
3 |
2020 |
Blue Cross of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
3 |
2020 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
15 |
3 |
2020 |
Blue Cross of California |
Other Specialist Providers |
Contractual Issues |
8 |
3 |
2020 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2020 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
5 |
3 |
2020 |
Blue Cross of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
3 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Anesthesiology |
Claims Payment Dispute |
1 |
3 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
60 |
3 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
9 |
3 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Home Health Services |
Claims Payment Dispute |
1 |
3 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
8 |
3 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
3 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
30 |
3 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
3 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Laboratory Services |
Claims Payment Dispute |
1 |
3 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
OB/GYN |
Claims Payment Dispute |
3 |
3 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
19 |
3 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Pharmacy |
Claims Payment Dispute |
1 |
3 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Pharmacy |
Non-Contracted Providers |
1 |
3 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
6 |
3 |
2020 |
Blue Shield of California Promise Health Plan |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2020 |
Blue Shield of California Promise Health Plan |
Home Health Services |
Claims Payment Dispute |
2 |
3 |
2020 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2020 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
12 |
3 |
2020 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
5 |
3 |
2020 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
5 |
3 |
2020 |
Blue Shield of California Promise Health Plan |
Internal Medicine |
Claims Payment Dispute |
2 |
3 |
2020 |
Blue Shield of California Promise Health Plan |
Internal Medicine |
Contractual Issues |
1 |
3 |
2020 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
4 |
3 |
2020 |
Blue Shield of California Promise Health Plan |
Pharmacy |
Claims Payment Dispute |
4 |
3 |
2020 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
3 |
2020 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Contractual Issues |
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 |
3 |
2020 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
2 |
3 |
2020 |
Evernorth Behavioral Health of California, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
3 |
2020 |
Evernorth Behavioral Health of California, Inc. |
Mental Health |
Dispute Resolution Problems |
1 |
3 |
2020 |
Fresno-Kings-Madera Regional Health Authority |
Pharmacy |
Claims Payment Dispute |
22 |
3 |
2020 |
Fresno-Kings-Madera Regional Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2020 |
Health Net Community Solutions, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2020 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
8 |
3 |
2020 |
Health Net Community Solutions, Inc. |
Home Health Services |
Claims Payment Dispute |
5 |
3 |
2020 |
Health Net Community Solutions, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
28 |
3 |
2020 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
50 |
3 |
2020 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
3 |
2020 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
23 |
3 |
2020 |
Health Net Community Solutions, Inc. |
Internal Medicine |
Claims Payment Dispute |
4 |
3 |
2020 |
Health Net Community Solutions, Inc. |
OB/GYN |
Claims Payment Dispute |
2 |
3 |
2020 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Non-Contracted Providers |
3 |
3 |
2020 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
19 |
3 |
2020 |
Health Net Community Solutions, Inc. |
Pharmacy |
Claims Payment Dispute |
6 |
3 |
2020 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
9 |
3 |
2020 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
3 |
2020 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Overpayment/Refund Request |
1 |
3 |
2020 |
Health Net of California, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2020 |
Health Net of California, Inc. |
Anesthesiology |
Claims Payment Dispute |
2 |
3 |
2020 |
Health Net of California, Inc. |
Anesthesiology |
Dispute Resolution Problems |
1 |
3 |
2020 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
14 |
3 |
2020 |
Health Net of California, Inc. |
Family/General Practice |
Overpayment/Refund Request |
7 |
3 |
2020 |
Health Net of California, Inc. |
Home Health Services |
Claims Payment Dispute |
2 |
3 |
2020 |
Health Net of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
7 |
3 |
2020 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
23 |
3 |
2020 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
3 |
2020 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2020 |
Health Net of California, Inc. |
Hospital/Institutional |
Other |
1 |
3 |
2020 |
Health Net of California, Inc. |
Internal Medicine |
Claims Payment Dispute |
6 |
3 |
2020 |
Health Net of California, Inc. |
Internal Medicine |
Dispute Resolution Problems |
12 |
3 |
2020 |
Health Net of California, Inc. |
OB/GYN |
Claims Payment Dispute |
2 |
3 |
2020 |
Health Net of California, Inc. |
OB/GYN |
Dispute Resolution Problems |
1 |
3 |
2020 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
3 |
3 |
2020 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Dispute Resolution Problems |
2 |
3 |
2020 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
7 |
3 |
2020 |
Health Net of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
10 |
3 |
2020 |
Health Net of California, Inc. |
Pharmacy |
Claims Payment Dispute |
1 |
3 |
2020 |
Health Net of California, Inc. |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
1 |
3 |
2020 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
3 |
2020 |
Heritage Provider Network, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2020 |
Human Affairs International of California |
Mental Health |
Claims Payment Dispute |
1 |
3 |
2020 |
Humana Health Plan of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2020 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2020 |
IEHP Health Access |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2020 |
Inland Empire Health Plan |
Durable Medical Equipment |
Non-Contracted Providers |
1 |
3 |
2020 |
Inland Empire Health Plan |
Home Health Services |
Claims Payment Dispute |
2 |
3 |
2020 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2020 |
Inland Empire Health Plan |
OB/GYN |
Claims Payment Dispute |
1 |
3 |
2020 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
6 |
3 |
2020 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
5 |
3 |
2020 |
Kaiser Foundation Health Plan, Inc. |
ER Physician |
Claims Payment Dispute |
1 |
3 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
24 |
3 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Contractual Issues |
1 |
3 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Internal Medicine |
Contractual Issues |
1 |
3 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
3 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
3 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Pediatrics |
Claims Payment Dispute |
1 |
3 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Pediatrics |
Unknown |
1 |
3 |
2020 |
Kern Health Systems |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2020 |
L.A. Care Health Plan Joint Powers Authority |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2020 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2020 |
L.A. Care Health Plan Joint Powers Authority |
Other Specialist Providers |
Claims Payment Dispute |
4 |
3 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Dispute Resolution Problems |
1 |
3 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Non-Contracted Providers |
2 |
3 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Claims Payment Dispute |
78 |
3 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Dispute Resolution Problems |
16 |
3 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
3 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
119 |
3 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
3 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Non-Contracted Providers |
8 |
3 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
3 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Internal Medicine |
Claims Payment Dispute |
2 |
3 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
6 |
3 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Pharmacy |
Claims Payment Dispute |
3 |
3 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
5 |
3 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
3 |
2020 |
Los Angeles County Department of Health Services |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2020 |
Los Angeles County Department of Health Services |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2020 |
Magellan Health Services of California, Inc. - Employer Services |
Mental Health |
Claims Payment Dispute |
2 |
3 |
2020 |
Magellan Health Services of California, Inc. - Employer Services |
Mental Health |
Non-Contracted Providers |
3 |
3 |
2020 |
Molina Healthcare of California |
Ambulance |
Claims Payment Dispute |
11 |
3 |
2020 |
Molina Healthcare of California |
Durable Medical Equipment |
Claims Payment Dispute |
38 |
3 |
2020 |
Molina Healthcare of California |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
3 |
2020 |
Molina Healthcare of California |
Home Health Services |
Dispute Resolution Problems |
67 |
3 |
2020 |
Molina Healthcare of California |
Hospital-Based Physician |
Claims Payment Dispute |
3 |
3 |
2020 |
Molina Healthcare of California |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
3 |
2020 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
114 |
3 |
2020 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
3 |
2020 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
13 |
3 |
2020 |
Molina Healthcare of California |
Hospital/Institutional |
Other |
1 |
3 |
2020 |
Molina Healthcare of California |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
3 |
2020 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
48 |
3 |
2020 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
24 |
3 |
2020 |
Molina Healthcare of California |
Other Specialist Providers |
Contractual Issues |
2 |
3 |
2020 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2020 |
Molina Healthcare of California |
Pharmacy |
Claims Payment Dispute |
66 |
3 |
2020 |
Molina Healthcare of California |
Pharmacy |
Dispute Resolution Problems |
25 |
3 |
2020 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
5 |
3 |
2020 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
7 |
3 |
2020 |
Orange County Health Authority |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2020 |
Orange County Health Authority |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
3 |
2020 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2020 |
Orange County Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2020 |
Oscar Health Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
3 |
2020 |
Oscar Health Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2020 |
San Francisco Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
25 |
3 |
2020 |
San Joaquin County Health Commission |
Home Health Services |
Claims Payment Dispute |
16 |
3 |
2020 |
San Joaquin County Health Commission |
Hospital/Institutional |
Claims Payment Dispute |
27 |
3 |
2020 |
Santa Clara County Health Authority |
Laboratory Services |
Claims Payment Dispute |
1 |
3 |
2020 |
Santa Cruz-Monterey-Merced-San Benito-Mariposa Managed Medical Care Commission |
Hospital/Institutional |
Other |
1 |
3 |
2020 |
Scan Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2020 |
U.S. Behavioral Health Plan, California |
Mental Health |
Claims Payment Dispute |
1 |
3 |
2020 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
6 |
3 |
2020 |
UHC of California |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
3 |
2020 |
UHC of California |
Hospital/Institutional |
Non-Contracted Providers |
2 |
3 |
2020 |
UHC of California |
OB/GYN |
Claims Payment Dispute |
2 |
3 |
2020 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
2 |
3 |
2020 |
UHC of California |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
3 |
2020 |
UnitedHealthcare Benefits Plan of California |
Chiropractic |
Claims Payment Dispute |
2 |
3 |
2020 |
UnitedHealthcare Community Plan of California, Inc. |
Ambulance |
Claims Payment Dispute |
2 |
3 |
2020 |
UnitedHealthcare Community Plan of California, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
3 |
3 |
2020 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2020 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
9 |
3 |
2020 |
UnitedHealthcare Community Plan of California, Inc. |
Other Specialist Providers |
Other |
1 |
3 |
2020 |
UnitedHealthcare Community Plan of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2020 |
Universal Care, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2020 |
WellCare of California, Inc. |
Home Health Services |
Dispute Resolution Problems |
2 |
3 |
2020 |
WellCare of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
3 |
2020 |
WellCare of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2020 |
Aetna Better Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2020 |
Aetna Better Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2020 |
Aetna Health of California Inc. |
Ambulance |
Non-Contracted Providers |
2 |
4 |
2020 |
Aetna Health of California Inc. |
Dental |
Claims Payment Dispute |
1 |
4 |
2020 |
Aetna Health of California Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
4 |
2020 |
Aetna Health of California Inc. |
Family/General Practice |
Claims Payment Dispute |
9 |
4 |
2020 |
Aetna Health of California Inc. |
Family/General Practice |
Overpayment/Refund Request |
3 |
4 |
2020 |
Aetna Health of California Inc. |
Hospital-Based Physician |
Non-Contracted Providers |
4 |
4 |
2020 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
14 |
4 |
2020 |
Aetna Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2020 |
Aetna Health of California Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
4 |
2020 |
Aetna Health of California Inc. |
Mental Health |
Claims Payment Dispute |
2 |
4 |
2020 |
Alameda Alliance For Health |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2020 |
Alameda Alliance For Health |
Hospital/Institutional |
Dispute Resolution Problems |
6 |
4 |
2020 |
Alameda Alliance For Health |
Laboratory Services |
Claims Payment Dispute |
2 |
4 |
2020 |
Alameda Alliance For Health |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
4 |
2020 |
Alignment Health Plan |
Skilled Nursing Facility |
Overpayment/Refund Request |
1 |
4 |
2020 |
AltaMed Health Network, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
4 |
2020 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
25 |
4 |
2020 |
Blue Cross of California |
Ambulance |
Non-Contracted Providers |
2 |
4 |
2020 |
Blue Cross of California |
Ambulance |
Unknown |
1 |
4 |
2020 |
Blue Cross of California |
Anesthesiology |
Claims Payment Dispute |
1 |
4 |
2020 |
Blue Cross of California |
Dental |
Claims Payment Dispute |
1 |
4 |
2020 |
Blue Cross of California |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
4 |
2020 |
Blue Cross of California |
ER Physician |
Claims Payment Dispute |
1 |
4 |
2020 |
Blue Cross of California |
Family/General Practice |
Claims Payment Dispute |
2 |
4 |
2020 |
Blue Cross of California |
Home Health Services |
Claims Payment Dispute |
9 |
4 |
2020 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
4 |
2020 |
Blue Cross of California |
Hospital-Based Physician |
Non-Contracted Providers |
7 |
4 |
2020 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
27 |
4 |
2020 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
4 |
2020 |
Blue Cross of California |
Hospital/Institutional |
Other |
2 |
4 |
2020 |
Blue Cross of California |
Internal Medicine |
Claims Payment Dispute |
2 |
4 |
2020 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
23 |
4 |
2020 |
Blue Cross of California |
Mental Health |
Dispute Resolution Problems |
5 |
4 |
2020 |
Blue Cross of California |
Mental Health |
Non-Contracted Providers |
1 |
4 |
2020 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
9 |
4 |
2020 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
13 |
4 |
2020 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
10 |
4 |
2020 |
Blue Cross of California |
Other Specialist Providers |
Non-Contracted Providers |
2 |
4 |
2020 |
Blue Cross of California |
Pharmacy |
Claims Payment Dispute |
5 |
4 |
2020 |
Blue Cross of California |
Pharmacy |
Dispute Resolution Problems |
1 |
4 |
2020 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
4 |
2020 |
Blue Cross of California |
Skilled Nursing Facility |
Overpayment/Refund Request |
1 |
4 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
10 |
4 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
4 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
17 |
4 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
5 |
4 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Other |
2 |
4 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
OB/GYN |
Claims Payment Dispute |
2 |
4 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
4 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
4 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Pharmacy |
Claims Payment Dispute |
1 |
4 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Pharmacy |
Dispute Resolution Problems |
2 |
4 |
2020 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
8 |
4 |
2020 |
Blue Shield of California Promise Health Plan |
Durable Medical Equipment |
Claims Payment Dispute |
14 |
4 |
2020 |
Blue Shield of California Promise Health Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
4 |
2020 |
Blue Shield of California Promise Health Plan |
ER Physician |
Claims Payment Dispute |
4 |
4 |
2020 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
9 |
4 |
2020 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
8 |
4 |
2020 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
3 |
4 |
2020 |
Blue Shield of California Promise Health Plan |
Internal Medicine |
Claims Payment Dispute |
3 |
4 |
2020 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
7 |
4 |
2020 |
Blue Shield of California Promise Health Plan |
Pharmacy |
Claims Payment Dispute |
10 |
4 |
2020 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
4 |
2020 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
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 |
4 |
2020 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
7 |
4 |
2020 |
Fresno-Kings-Madera Regional Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2020 |
Health Net Community Solutions, Inc. |
Ambulance |
Claims Payment Dispute |
3 |
4 |
2020 |
Health Net Community Solutions, Inc. |
Ambulance |
Dispute Resolution Problems |
1 |
4 |
2020 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
4 |
2020 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
2 |
4 |
2020 |
Health Net Community Solutions, Inc. |
Home Health Services |
Claims Payment Dispute |
3 |
4 |
2020 |
Health Net Community Solutions, Inc. |
Hospital-Based Physician |
Non-Contracted Providers |
1 |
4 |
2020 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
30 |
4 |
2020 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
7 |
4 |
2020 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
14 |
4 |
2020 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
8 |
4 |
2020 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
10 |
4 |
2020 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
4 |
2020 |
Health Net Community Solutions, Inc. |
Pediatrics |
Claims Payment Dispute |
1 |
4 |
2020 |
Health Net Community Solutions, Inc. |
Pharmacy |
Claims Payment Dispute |
23 |
4 |
2020 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
6 |
4 |
2020 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
4 |
2020 |
Health Net of California, Inc. |
Ambulance |
Claims Payment Dispute |
15 |
4 |
2020 |
Health Net of California, Inc. |
Ambulance |
Unknown |
2 |
4 |
2020 |
Health Net of California, Inc. |
Anesthesiology |
Claims Payment Dispute |
1 |
4 |
2020 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
5 |
4 |
2020 |
Health Net of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
4 |
2020 |
Health Net of California, Inc. |
Hospital-Based Physician |
Non-Contracted Providers |
1 |
4 |
2020 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
10 |
4 |
2020 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
4 |
2020 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
4 |
2020 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2020 |
Health Net of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
4 |
2020 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
4 |
2020 |
Holman Professional Counseling Centers |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
4 |
2020 |
Human Affairs International of California |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2020 |
Humana Health Plan of California, Inc. |
Hospital-Based Physician |
Non-Contracted Providers |
2 |
4 |
2020 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2020 |
Inland Empire Health Plan |
Durable Medical Equipment |
Claims Payment Dispute |
6 |
4 |
2020 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
7 |
4 |
2020 |
Inland Empire Health Plan |
Hospital/Institutional |
Other |
1 |
4 |
2020 |
Inland Empire Health Plan |
OB/GYN |
Claims Payment Dispute |
1 |
4 |
2020 |
Inland Empire Health Plan |
OB/GYN |
Dispute Resolution Problems |
1 |
4 |
2020 |
Inland Empire Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
4 |
2020 |
Inland Empire Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
2 |
4 |
2020 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
8 |
4 |
2020 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
4 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
17 |
4 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
4 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Other |
1 |
4 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
11 |
4 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
4 |
2020 |
Kaiser Foundation Health Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
4 |
2020 |
Kern Health Systems |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
2 |
4 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Dispute Resolution Problems |
2 |
4 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
4 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
38 |
4 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
7 |
4 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Other |
1 |
4 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Internal Medicine |
Claims Payment Dispute |
1 |
4 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
3 |
4 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Pharmacy |
Claims Payment Dispute |
22 |
4 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Pharmacy |
Dispute Resolution Problems |
2 |
4 |
2020 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
4 |
2020 |
MemorialCare Select Health Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
4 |
4 |
2020 |
Molina Healthcare of California |
Ambulance |
Claims Payment Dispute |
4 |
4 |
2020 |
Molina Healthcare of California |
Ambulance |
Non-Contracted Providers |
1 |
4 |
2020 |
Molina Healthcare of California |
Ambulance |
Unknown |
1 |
4 |
2020 |
Molina Healthcare of California |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
4 |
2020 |
Molina Healthcare of California |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
4 |
2020 |
Molina Healthcare of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
4 |
2020 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
61 |
4 |
2020 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
12 |
4 |
2020 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
10 |
4 |
2020 |
Molina Healthcare of California |
Hospital/Institutional |
Overpayment/Refund Request |
2 |
4 |
2020 |
Molina Healthcare of California |
Laboratory Services |
Claims Payment Dispute |
1 |
4 |
2020 |
Molina Healthcare of California |
OB/GYN |
Claims Payment Dispute |
21 |
4 |
2020 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
4 |
4 |
2020 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
7 |
4 |
2020 |
Molina Healthcare of California |
Pharmacy |
Claims Payment Dispute |
14 |
4 |
2020 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
6 |
4 |
2020 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
4 |
2020 |
Optum Health Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2020 |
Optum Health Plan of California |
OB/GYN |
Claims Payment Dispute |
1 |
4 |
2020 |
Optum Health Plan of California |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2020 |
Orange County Health Authority |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2020 |
Oscar Health Plan of California |
Hospital/Institutional |
Other |
1 |
4 |
2020 |
Partnership HealthPlan of California |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
4 |
2020 |
Plan For Health, Inc. |
Other Specialist Providers |
Contractual Issues |
1 |
4 |
2020 |
San Joaquin County Health Commission |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2020 |
San Joaquin County Health Commission |
OB/GYN |
Contractual Issues |
1 |
4 |
2020 |
San Joaquin County Health Commission |
Physical/Speech/Occupational Therapy |
Other |
1 |
4 |
2020 |
San Mateo Health Commission |
Hospital/Institutional |
Claims Payment Dispute |
2 |
4 |
2020 |
Santa Barbara San Luis Obispo Regional Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2020 |
Santa Clara County |
Other Specialist Providers |
Dispute Resolution Problems |
72 |
4 |
2020 |
Scan Health Plan |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
4 |
2020 |
Scan Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2020 |
Scan Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
4 |
2020 |
U.S. Behavioral Health Plan, California |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2020 |
U.S. Behavioral Health Plan, California |
Mental Health |
Contractual Issues |
1 |
4 |
2020 |
UHC of California |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2020 |
UHC of California |
Ambulance |
Non-Contracted Providers |
1 |
4 |
2020 |
UHC of California |
Anesthesiology |
Dispute Resolution Problems |
1 |
4 |
2020 |
UHC of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
4 |
2020 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
3 |
4 |
2020 |
UHC of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2020 |
UHC of California |
Mental Health |
Claims Payment Dispute |
4 |
4 |
2020 |
UHC of California |
OB/GYN |
Claims Payment Dispute |
1 |
4 |
2020 |
UHC of California |
OB/GYN |
Overpayment/Refund Request |
1 |
4 |
2020 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
2 |
4 |
2020 |
UHC of California |
Pharmacy |
Dispute Resolution Problems |
1 |
4 |
2020 |
UHC of California |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
4 |
2020 |
UnitedHealthcare Benefits Plan of California |
Hospital-Based Physician |
Non-Contracted Providers |
5 |
4 |
2020 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
2 |
4 |
2020 |
UnitedHealthcare Community Plan of California, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
7 |
4 |
2020 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
10 |
4 |
2020 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2020 |
Universal Care, Inc. |
Hospital-Based Physician |
Non-Contracted Providers |
2 |
4 |
2020 |
Universal Care, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2020 |
WellCare of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2021 |
Aetna Health of California Inc. |
Anesthesiology |
Claims Payment Dispute |
1 |
1 |
2021 |
Aetna Health of California Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2021 |
Aetna Health of California Inc. |
ER Physician |
Claims Payment Dispute |
1 |
1 |
2021 |
Aetna Health of California Inc. |
ER Physician |
Unknown |
2 |
1 |
2021 |
Aetna Health of California Inc. |
Home Health Services |
Contractual Issues |
1 |
1 |
2021 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
5 |
1 |
2021 |
Aetna Health of California Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2021 |
Aetna Health of California Inc. |
Laboratory Services |
Non-Contracted Providers |
2 |
1 |
2021 |
Aetna Health of California Inc. |
Mental Health |
Dispute Resolution Problems |
17 |
1 |
2021 |
Aetna Health of California Inc. |
OB/GYN |
Dispute Resolution Problems |
1 |
1 |
2021 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2021 |
Alameda Alliance For Health |
Hospital/Institutional |
Claims Payment Dispute |
2 |
1 |
2021 |
Alameda Alliance For Health |
OB/GYN |
Claims Payment Dispute |
6 |
1 |
2021 |
Alameda Alliance For Health |
Other Specialist Providers |
Claims Payment Dispute |
11 |
1 |
2021 |
Alameda Alliance For Health |
Skilled Nursing Facility |
Claims Payment Dispute |
5 |
1 |
2021 |
AltaMed Health Network, Inc. |
Hospital/Institutional |
Contractual Issues |
1 |
1 |
2021 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
11 |
1 |
2021 |
Blue Cross of California |
Anesthesiology |
Claims Payment Dispute |
2 |
1 |
2021 |
Blue Cross of California |
Durable Medical Equipment |
Claims Payment Dispute |
5 |
1 |
2021 |
Blue Cross of California |
ER Physician |
Unknown |
3 |
1 |
2021 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
3 |
1 |
2021 |
Blue Cross of California |
Hospital-Based Physician |
Dispute Resolution Problems |
3 |
1 |
2021 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
32 |
1 |
2021 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
23 |
1 |
2021 |
Blue Cross of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2021 |
Blue Cross of California |
Hospital/Institutional |
Other |
3 |
1 |
2021 |
Blue Cross of California |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
1 |
2021 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
9 |
1 |
2021 |
Blue Cross of California |
Mental Health |
Dispute Resolution Problems |
9 |
1 |
2021 |
Blue Cross of California |
Mental Health |
Non-Contracted Providers |
6 |
1 |
2021 |
Blue Cross of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
5 |
1 |
2021 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
13 |
1 |
2021 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2021 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
1 |
2021 |
Blue Cross of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
1 |
2021 |
Blue Cross of California |
Skilled Nursing Facility |
Overpayment/Refund Request |
4 |
1 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Anesthesiology |
Claims Payment Dispute |
2 |
1 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
1 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Durable Medical Equipment |
Contractual Issues |
2 |
1 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
4 |
1 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Hospital-Based Physician |
Non-Contracted Providers |
2 |
1 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
4 |
1 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
13 |
1 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Other |
1 |
1 |
2021 |
Blue Shield of California Promise Health Plan |
Durable Medical Equipment |
Claims Payment Dispute |
5 |
1 |
2021 |
Blue Shield of California Promise Health Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
1 |
2021 |
Blue Shield of California Promise Health Plan |
Family/General Practice |
Claims Payment Dispute |
3 |
1 |
2021 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
16 |
1 |
2021 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
6 |
1 |
2021 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
2 |
1 |
2021 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Other |
1 |
1 |
2021 |
Blue Shield of California Promise Health Plan |
OB/GYN |
Claims Payment Dispute |
1 |
1 |
2021 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
5 |
1 |
2021 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2021 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Non-Contracted Providers |
1 |
1 |
2021 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
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 |
1 |
2021 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
2 |
1 |
2021 |
Delta Dental of California |
Dental |
Dispute Resolution Problems |
1 |
1 |
2021 |
Evernorth Behavioral Health of California, Inc. |
Laboratory Services |
Claims Payment Dispute |
3 |
1 |
2021 |
Evernorth Behavioral Health of California, Inc. |
Other Specialist Providers |
Overpayment/Refund Request |
2 |
1 |
2021 |
Health Net Community Solutions, Inc. |
Anesthesiology |
Claims Payment Dispute |
2 |
1 |
2021 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
4 |
1 |
2021 |
Health Net Community Solutions, Inc. |
Home Health Services |
Claims Payment Dispute |
1 |
1 |
2021 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
19 |
1 |
2021 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
1 |
2021 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
4 |
1 |
2021 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
1 |
2021 |
Health Net Community Solutions, Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
1 |
2021 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
10 |
1 |
2021 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
11 |
1 |
2021 |
Health Net Community Solutions, Inc. |
Pediatrics |
Claims Payment Dispute |
1 |
1 |
2021 |
Health Net Community Solutions, Inc. |
Pharmacy |
Claims Payment Dispute |
29 |
1 |
2021 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
5 |
1 |
2021 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
1 |
2021 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Overpayment/Refund Request |
2 |
1 |
2021 |
Health Net of California, Inc. |
Anesthesiology |
Contractual Issues |
1 |
1 |
2021 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
5 |
1 |
2021 |
Health Net of California, Inc. |
Family/General Practice |
Claims Payment Dispute |
2 |
1 |
2021 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
7 |
1 |
2021 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
1 |
2021 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2021 |
Health Net of California, Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
1 |
2021 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
4 |
1 |
2021 |
Health Net of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2021 |
Health Net of California, Inc. |
Other Specialist Providers |
Overpayment/Refund Request |
7 |
1 |
2021 |
Health Net of California, Inc. |
Pharmacy |
Dispute Resolution Problems |
2 |
1 |
2021 |
Heritage Provider Network, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2021 |
Human Affairs International of California |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2021 |
Human Affairs International of California |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2021 |
Humana Health Plan of California, Inc. |
Dental |
Claims Payment Dispute |
1 |
1 |
2021 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2021 |
Humana Health Plan of California, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2021 |
Inland Empire Health Plan |
Hospital-Based Physician |
Non-Contracted Providers |
3 |
1 |
2021 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
4 |
1 |
2021 |
Inland Empire Health Plan |
Mental Health |
Claims Payment Dispute |
6 |
1 |
2021 |
Inland Empire Health Plan |
OB/GYN |
Claims Payment Dispute |
1 |
1 |
2021 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
1 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
16 |
1 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Contractual Issues |
1 |
1 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Other |
1 |
1 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Unknown |
722 |
1 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
1 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
13 |
1 |
2021 |
Kaiser Foundation Health Plan, Inc. |
On Call Physicians (Not ER) |
Claims Payment Dispute |
1 |
1 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2021 |
KPC Global Health Plan, Inc. |
Home Health Services |
Claims Payment Dispute |
1 |
1 |
2021 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Anesthesiology |
Claims Payment Dispute |
1 |
1 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
1 |
2021 |
Local Initiative Health Authority for Los Angeles County |
ER Physician |
Claims Payment Dispute |
1 |
1 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
26 |
1 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
14 |
1 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Other |
3 |
1 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Internal Medicine |
Claims Payment Dispute |
5 |
1 |
2021 |
Local Initiative Health Authority for Los Angeles County |
OB/GYN |
Claims Payment Dispute |
5 |
1 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Claims Payment Dispute |
8 |
1 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Pharmacy |
Dispute Resolution Problems |
1 |
1 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
1 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Dispute Resolution Problems |
4 |
1 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Other |
1 |
1 |
2021 |
Los Angeles County Department of Health Services |
Anesthesiology |
Claims Payment Dispute |
1 |
1 |
2021 |
Molina Healthcare of California |
Anesthesiology |
Non-Contracted Providers |
1 |
1 |
2021 |
Molina Healthcare of California |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
1 |
2021 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
42 |
1 |
2021 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
5 |
1 |
2021 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
2 |
1 |
2021 |
Molina Healthcare of California |
Hospital/Institutional |
Overpayment/Refund Request |
2 |
1 |
2021 |
Molina Healthcare of California |
Internal Medicine |
Claims Payment Dispute |
3 |
1 |
2021 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
1 |
2021 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
23 |
1 |
2021 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
8 |
1 |
2021 |
Molina Healthcare of California |
Other Specialist Providers |
Overpayment/Refund Request |
3 |
1 |
2021 |
Molina Healthcare of California |
Pharmacy |
Claims Payment Dispute |
7 |
1 |
2021 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
22 |
1 |
2021 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
7 |
1 |
2021 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2021 |
Orange County Health Authority |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
1 |
2021 |
Oscar Health Plan of California |
Anesthesiology |
Non-Contracted Providers |
2 |
1 |
2021 |
Oscar Health Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
2 |
1 |
2021 |
Oscar Health Plan of California |
Other Specialist Providers |
Non-Contracted Providers |
1 |
1 |
2021 |
Oscar Health Plan of California |
Pharmacy |
Claims Payment Dispute |
4 |
1 |
2021 |
Partnership HealthPlan of California |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
1 |
2021 |
Partnership HealthPlan of California |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2021 |
PRIMECARE Medical Network, Inc. |
OB/GYN |
Dispute Resolution Problems |
2 |
1 |
2021 |
SafeGuard Health Plans, Inc. |
Dental |
Claims Payment Dispute |
1 |
1 |
2021 |
San Joaquin County Health Commission |
Hospital/Institutional |
Claims Payment Dispute |
3 |
1 |
2021 |
San Joaquin County Health Commission |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2021 |
San Joaquin County Health Commission |
Laboratory Services |
Claims Payment Dispute |
1 |
1 |
2021 |
San Joaquin County Health Commission |
OB/GYN |
Claims Payment Dispute |
11 |
1 |
2021 |
San Joaquin County Health Commission |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2021 |
Santa Clara County |
Hospital/Institutional |
Dispute Resolution Problems |
9 |
1 |
2021 |
Santa Clara County |
Hospital/Institutional |
Other |
1 |
1 |
2021 |
Scan Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2021 |
Scan Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2021 |
U.S. Behavioral Health Plan, California |
Mental Health |
Claims Payment Dispute |
13 |
1 |
2021 |
U.S. Behavioral Health Plan, California |
Other Specialist Providers |
Claims Payment Dispute |
7 |
1 |
2021 |
UHC of California |
Anesthesiology |
Claims Payment Dispute |
1 |
1 |
2021 |
UHC of California |
Hospital-Based Physician |
Claims Payment Dispute |
4 |
1 |
2021 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
7 |
1 |
2021 |
UHC of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2021 |
UHC of California |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2021 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
2 |
1 |
2021 |
United Concordia Dental Plans of California, Inc. |
Dental |
Claims Payment Dispute |
1 |
1 |
2021 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
12 |
1 |
2021 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2021 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Overpayment/Refund Request |
2 |
1 |
2021 |
Western Health Advantage |
Hospital/Institutional |
Claims Payment Dispute |
2 |
2 |
2021 |
Aetna Better Health of California Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
2 |
2021 |
Aetna Better Health of California Inc. |
Pediatrics |
Claims Payment Dispute |
25 |
2 |
2021 |
Aetna Health of California Inc. |
Home Health Services |
Claims Payment Dispute |
1 |
2 |
2021 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
13 |
2 |
2021 |
Aetna Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2021 |
Aetna Health of California Inc. |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
2 |
2021 |
Aetna Health of California Inc. |
Mental Health |
Claims Payment Dispute |
3 |
2 |
2021 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2021 |
AIDS Healthcare Foundation |
Hospital/Institutional |
Claims Payment Dispute |
2 |
2 |
2021 |
Alameda Alliance For Health |
Hospital/Institutional |
Other |
1 |
2 |
2021 |
Alameda Alliance For Health |
Mental Health |
Claims Payment Dispute |
2 |
2 |
2021 |
Alignment Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2021 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
2 |
2 |
2021 |
Blue Cross of California |
Dental |
Claims Payment Dispute |
1 |
2 |
2021 |
Blue Cross of California |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
2 |
2021 |
Blue Cross of California |
ER Physician |
Non-Contracted Providers |
1 |
2 |
2021 |
Blue Cross of California |
Family/General Practice |
Claims Payment Dispute |
1 |
2 |
2021 |
Blue Cross of California |
Home Health Services |
Claims Payment Dispute |
2 |
2 |
2021 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
38 |
2 |
2021 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
10 |
2 |
2021 |
Blue Cross of California |
Hospital/Institutional |
Other |
1 |
2 |
2021 |
Blue Cross of California |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
2 |
2021 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
8 |
2 |
2021 |
Blue Cross of California |
Mental Health |
Dispute Resolution Problems |
2 |
2 |
2021 |
Blue Cross of California |
Mental Health |
Non-Contracted Providers |
34 |
2 |
2021 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
4 |
2 |
2021 |
Blue Cross of California |
OB/GYN |
Contractual Issues |
1 |
2 |
2021 |
Blue Cross of California |
OB/GYN |
Dispute Resolution Problems |
1 |
2 |
2021 |
Blue Cross of California |
On Call Physicians (Not ER) |
Claims Payment Dispute |
2 |
2 |
2021 |
Blue Cross of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
2 |
2021 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
42 |
2 |
2021 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
6 |
2 |
2021 |
Blue Cross of California |
Other Specialist Providers |
Non-Contracted Providers |
1 |
2 |
2021 |
Blue Cross of California |
Pediatrics |
Claims Payment Dispute |
9 |
2 |
2021 |
Blue Cross of California |
Pharmacy |
Claims Payment Dispute |
1 |
2 |
2021 |
Blue Cross of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
1 |
2 |
2021 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2021 |
Blue Cross of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
2 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
2 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
4 |
2 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
10 |
2 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
7 |
2 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
2 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
2 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Overpayment/Refund Request |
2 |
2 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
8 |
2 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
2 |
2021 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
2 |
2021 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
13 |
2 |
2021 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
16 |
2 |
2021 |
Blue Shield of California Promise Health Plan |
Other Ancillary Service Providers |
Non-Contracted Providers |
1 |
2 |
2021 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
2 |
2 |
2021 |
Blue Shield of California Promise Health Plan |
Pharmacy |
Claims Payment Dispute |
1 |
2 |
2021 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
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 |
2 |
2021 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
1 |
2 |
2021 |
Fresno-Kings-Madera Regional Health Authority |
Pediatrics |
Claims Payment Dispute |
13 |
2 |
2021 |
Health Advocate West, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2021 |
Health Net Community Solutions, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2021 |
Health Net Community Solutions, Inc. |
Ambulance |
Non-Contracted Providers |
3 |
2 |
2021 |
Health Net Community Solutions, Inc. |
Anesthesiology |
Claims Payment Dispute |
2 |
2 |
2021 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
2 |
2021 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
28 |
2 |
2021 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
2 |
2021 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
10 |
2 |
2021 |
Health Net Community Solutions, Inc. |
OB/GYN |
Dispute Resolution Problems |
1 |
2 |
2021 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
73 |
2 |
2021 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Dispute Resolution Problems |
2 |
2 |
2021 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Non-Contracted Providers |
1 |
2 |
2021 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Overpayment/Refund Request |
2 |
2 |
2021 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
3 |
2 |
2021 |
Health Net Community Solutions, Inc. |
Pharmacy |
Claims Payment Dispute |
4 |
2 |
2021 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
20 |
2 |
2021 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
2 |
2021 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Overpayment/Refund Request |
4 |
2 |
2021 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
2 |
2021 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
14 |
2 |
2021 |
Health Net of California, Inc. |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
2 |
2021 |
Health Net of California, Inc. |
Mental Health |
Dispute Resolution Problems |
1 |
2 |
2021 |
Health Net of California, Inc. |
OB/GYN |
Claims Payment Dispute |
1 |
2 |
2021 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
2 |
2021 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
10 |
2 |
2021 |
Health Net of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
2 |
2021 |
Health Net of California, Inc. |
Pediatrics |
Contractual Issues |
2 |
2 |
2021 |
Health Net of California, Inc. |
Pharmacy |
Claims Payment Dispute |
1 |
2 |
2021 |
Heritage Provider Network, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2021 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
2 |
2021 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Overpayment/Refund Request |
2 |
2 |
2021 |
Humana Health Plan of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2021 |
IEHP Health Access |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2021 |
Inland Empire Health Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
2 |
2021 |
Inland Empire Health Plan |
Durable Medical Equipment |
Non-Contracted Providers |
3 |
2 |
2021 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
23 |
2 |
2021 |
Inland Empire Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2021 |
Inland Empire Health Plan |
OB/GYN |
Claims Payment Dispute |
1 |
2 |
2021 |
Inland Empire Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
2 |
2 |
2021 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2021 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
2 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
13 |
2 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Contractual Issues |
1 |
2 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Unknown |
1 |
2 |
2021 |
Kaiser Foundation Health Plan, Inc. |
On Call Physicians (Not ER) |
Claims Payment Dispute |
2 |
2 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
2 |
2021 |
Kern Health Systems |
Ambulance |
Claims Payment Dispute |
2 |
2 |
2021 |
Kern Health Systems |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2021 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Anesthesiology |
Claims Payment Dispute |
3 |
2 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Claims Payment Dispute |
6 |
2 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Overpayment/Refund Request |
1 |
2 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
29 |
2 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
15 |
2 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Internal Medicine |
Claims Payment Dispute |
1 |
2 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Claims Payment Dispute |
8 |
2 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
2 |
2 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2021 |
Magellan Health Services of California, Inc. - Employer Services |
Mental Health |
Claims Payment Dispute |
1 |
2 |
2021 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
22 |
2 |
2021 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2021 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
33 |
2 |
2021 |
Molina Healthcare of California |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
2 |
2021 |
Molina Healthcare of California |
OB/GYN |
Other |
1 |
2 |
2021 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
17 |
2 |
2021 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
2 |
2021 |
Molina Healthcare of California |
Other Specialist Providers |
Overpayment/Refund Request |
1 |
2 |
2021 |
Molina Healthcare of California |
Pharmacy |
Claims Payment Dispute |
3 |
2 |
2021 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
10 |
2 |
2021 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
4 |
2 |
2021 |
Optum Health Plan of California |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
2 |
2021 |
Orange County Health Authority |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
2 |
2021 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
3 |
2 |
2021 |
Oscar Health Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2021 |
Oscar Health Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
3 |
2 |
2021 |
Oscar Health Plan of California |
Mental Health |
Other |
7 |
2 |
2021 |
Partnership HealthPlan of California |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2021 |
PRIMECARE Medical Network, Inc. |
Hospital-Based Physician |
Unknown |
5 |
2 |
2021 |
Prospect Health Plan, Inc. |
Family/General Practice |
Claims Payment Dispute |
2 |
2 |
2021 |
Providence Health Assurance |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2021 |
San Joaquin County Health Commission |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2021 |
San Joaquin County Health Commission |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2021 |
Santa Clara County |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2021 |
Scan Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2021 |
Scan Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2021 |
Sharp Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
4 |
2 |
2021 |
U.S. Behavioral Health Plan, California |
Mental Health |
Claims Payment Dispute |
3 |
2 |
2021 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
2 |
2 |
2021 |
UHC of California |
Hospital/Institutional |
Dispute Resolution Problems |
6 |
2 |
2021 |
UHC of California |
Hospital/Institutional |
Other |
1 |
2 |
2021 |
UHC of California |
OB/GYN |
Claims Payment Dispute |
3 |
2 |
2021 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
2 |
2 |
2021 |
UHC of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
3 |
2 |
2021 |
UHC of California |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2021 |
UHC of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
2 |
2021 |
UnitedHealthcare Benefits Plan of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
2 |
2021 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
8 |
2 |
2021 |
Universal Care, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
2 |
2021 |
WellCare of California, Inc. |
Ambulance |
Non-Contracted Providers |
3 |
2 |
2021 |
WellCare of California, Inc. |
Family/General Practice |
Dispute Resolution Problems |
1 |
3 |
2021 |
Aetna Better Health of California Inc. |
Pediatrics |
Claims Payment Dispute |
15 |
3 |
2021 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
16 |
3 |
2021 |
Aetna Health of California Inc. |
Hospital/Institutional |
Contractual Issues |
1 |
3 |
2021 |
Aetna Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
3 |
2021 |
Aetna Health of California Inc. |
Hospital/Institutional |
Non-Contracted Providers |
3 |
3 |
2021 |
Aetna Health of California Inc. |
OB/GYN |
Claims Payment Dispute |
1 |
3 |
2021 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
3 |
3 |
2021 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
5 |
3 |
2021 |
Blue Cross of California |
Ambulance |
Dispute Resolution Problems |
1 |
3 |
2021 |
Blue Cross of California |
Ambulance |
Non-Contracted Providers |
1 |
3 |
2021 |
Blue Cross of California |
Anesthesiology |
Claims Payment Dispute |
7 |
3 |
2021 |
Blue Cross of California |
Chiropractic |
Claims Payment Dispute |
1 |
3 |
2021 |
Blue Cross of California |
Dental |
Other |
1 |
3 |
2021 |
Blue Cross of California |
ER Physician |
Claims Payment Dispute |
9 |
3 |
2021 |
Blue Cross of California |
ER Physician |
Non-Contracted Providers |
1 |
3 |
2021 |
Blue Cross of California |
ER Physician |
Unknown |
1 |
3 |
2021 |
Blue Cross of California |
Home Health Services |
Claims Payment Dispute |
9 |
3 |
2021 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
5 |
3 |
2021 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
47 |
3 |
2021 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
3 |
2021 |
Blue Cross of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2021 |
Blue Cross of California |
Internal Medicine |
Claims Payment Dispute |
1 |
3 |
2021 |
Blue Cross of California |
Internal Medicine |
Contractual Issues |
1 |
3 |
2021 |
Blue Cross of California |
Internal Medicine |
Non-Contracted Providers |
1 |
3 |
2021 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
34 |
3 |
2021 |
Blue Cross of California |
Mental Health |
Contractual Issues |
2 |
3 |
2021 |
Blue Cross of California |
Mental Health |
Non-Contracted Providers |
14 |
3 |
2021 |
Blue Cross of California |
Mental Health |
Overpayment/Refund Request |
1 |
3 |
2021 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
4 |
3 |
2021 |
Blue Cross of California |
OB/GYN |
Contractual Issues |
1 |
3 |
2021 |
Blue Cross of California |
OB/GYN |
Dispute Resolution Problems |
1 |
3 |
2021 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
36 |
3 |
2021 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
11 |
3 |
2021 |
Blue Cross of California |
Other Specialist Providers |
Overpayment/Refund Request |
4 |
3 |
2021 |
Blue Cross of California |
Pediatrics |
Claims Payment Dispute |
33 |
3 |
2021 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
3 |
2021 |
Blue Cross of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
3 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
8 |
3 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
7 |
3 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Pediatrics |
Claims Payment Dispute |
17 |
3 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
8 |
3 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
8 |
3 |
2021 |
Blue Shield of California Promise Health Plan |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
3 |
2021 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
25 |
3 |
2021 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
9 |
3 |
2021 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2021 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Other |
1 |
3 |
2021 |
Blue Shield of California Promise Health Plan |
Internal Medicine |
Claims Payment Dispute |
1 |
3 |
2021 |
Blue Shield of California Promise Health Plan |
Other Ancillary Service Providers |
Other |
1 |
3 |
2021 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
2 |
3 |
2021 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
3 |
2021 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Non-Contracted Providers |
2 |
3 |
2021 |
Blue Shield of California Promise Health Plan |
Pharmacy |
Claims Payment Dispute |
7 |
3 |
2021 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
5 |
3 |
2021 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
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 |
3 |
2021 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
2 |
3 |
2021 |
Fresno-Kings-Madera Regional Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2021 |
Health Net Community Solutions, Inc. |
Ambulance |
Dispute Resolution Problems |
1 |
3 |
2021 |
Health Net Community Solutions, Inc. |
Home Health Services |
Claims Payment Dispute |
5 |
3 |
2021 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
24 |
3 |
2021 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
3 |
2021 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
5 |
3 |
2021 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Other |
3 |
3 |
2021 |
Health Net Community Solutions, Inc. |
OB/GYN |
Claims Payment Dispute |
1 |
3 |
2021 |
Health Net Community Solutions, Inc. |
OB/GYN |
Dispute Resolution Problems |
1 |
3 |
2021 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
133 |
3 |
2021 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Other |
2 |
3 |
2021 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
15 |
3 |
2021 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
3 |
3 |
2021 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
9 |
3 |
2021 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
3 |
2021 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
3 |
2021 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
21 |
3 |
2021 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
3 |
2021 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
4 |
3 |
2021 |
Health Net of California, Inc. |
Hospital/Institutional |
Other |
6 |
3 |
2021 |
Health Net of California, Inc. |
OB/GYN |
Claims Payment Dispute |
1 |
3 |
2021 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
5 |
3 |
2021 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
3 |
3 |
2021 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
3 |
2021 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
3 |
2021 |
Humana Health Plan of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2021 |
Humana Health Plan of California, Inc. |
Other Specialist Providers |
Contractual Issues |
1 |
3 |
2021 |
Humana Health Plan of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
5 |
3 |
2021 |
Humana Health Plan of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
3 |
2021 |
Inland Empire Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
4 |
3 |
2021 |
Inland Empire Health Plan |
OB/GYN |
Contractual Issues |
1 |
3 |
2021 |
Inland Empire Health Plan |
OB/GYN |
Dispute Resolution Problems |
2 |
3 |
2021 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Ambulance |
Non-Contracted Providers |
1 |
3 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
8 |
3 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
17 |
3 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
3 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
5 |
3 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Unknown |
48 |
3 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
2 |
3 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
3 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2021 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2021 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
3 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Dispute Resolution Problems |
3 |
3 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Anesthesiology |
Claims Payment Dispute |
1 |
3 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
32 |
3 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
40 |
3 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Non-Contracted Providers |
4 |
3 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Other |
2 |
3 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Claims Payment Dispute |
5 |
3 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
2 |
3 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
9 |
3 |
2021 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
20 |
3 |
2021 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
5 |
3 |
2021 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
23 |
3 |
2021 |
Molina Healthcare of California |
Hospital/Institutional |
Other |
2 |
3 |
2021 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
6 |
3 |
2021 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
4 |
3 |
2021 |
Molina Healthcare of California |
Other Specialist Providers |
Overpayment/Refund Request |
2 |
3 |
2021 |
Molina Healthcare of California |
Pediatrics |
Claims Payment Dispute |
6 |
3 |
2021 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
14 |
3 |
2021 |
Orange County Health Authority |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2021 |
Orange County Health Authority |
Internal Medicine |
Non-Contracted Providers |
1 |
3 |
2021 |
Orange County Health Authority |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2021 |
Orange County Health Authority |
Other Specialist Providers |
Dispute Resolution Problems |
4 |
3 |
2021 |
Oscar Health Plan of California |
Family/General Practice |
Claims Payment Dispute |
2 |
3 |
2021 |
Oscar Health Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
6 |
3 |
2021 |
Oscar Health Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
10 |
3 |
2021 |
Partnership HealthPlan of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
3 |
2021 |
San Joaquin County Health Commission |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2021 |
San Joaquin County Health Commission |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2021 |
San Joaquin County Health Commission |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2021 |
Santa Clara County |
Internal Medicine |
Claims Payment Dispute |
5 |
3 |
2021 |
Santa Clara County |
Mental Health |
Claims Payment Dispute |
3 |
3 |
2021 |
Santa Clara County Health Authority |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
3 |
2021 |
Scan Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
3 |
3 |
2021 |
Scan Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2021 |
Scan Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2021 |
Sistemas Medicos Nacionales, S.A.de C.V. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2021 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
5 |
3 |
2021 |
UHC of California |
Hospital/Institutional |
Non-Contracted Providers |
2 |
3 |
2021 |
UHC of California |
Mental Health |
Non-Contracted Providers |
2 |
3 |
2021 |
UHC of California |
OB/GYN |
Claims Payment Dispute |
2 |
3 |
2021 |
UHC of California |
OB/GYN |
Dispute Resolution Problems |
1 |
3 |
2021 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
2 |
3 |
2021 |
UHC of California |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2021 |
UHC of California |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
3 |
2021 |
UnitedHealthcare Benefits Plan of California |
Home Health Services |
Claims Payment Dispute |
4 |
3 |
2021 |
UnitedHealthcare Benefits Plan of California |
OB/GYN |
Claims Payment Dispute |
1 |
3 |
2021 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
2 |
3 |
2021 |
UnitedHealthcare Community Plan of California, Inc. |
ER Physician |
Unknown |
1 |
3 |
2021 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
5 |
3 |
2021 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
3 |
2021 |
Universal Care, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2021 |
Universal Care, Inc. |
Other Specialist Providers |
Overpayment/Refund Request |
1 |
3 |
2021 |
Universal Care, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2021 |
WellCare of California, Inc. |
Family/General Practice |
Claims Payment Dispute |
1 |
3 |
2021 |
WellCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
3 |
2021 |
WellCare of California, Inc. |
Hospital/Institutional |
Other |
1 |
3 |
2021 |
WellCare of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2021 |
Western Health Advantage |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2021 |
Aetna Better Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
4 |
2021 |
Aetna Better Health of California Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
4 |
2021 |
Aetna Better Health of California Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
4 |
2021 |
Aetna Health of California Inc. |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2021 |
Aetna Health of California Inc. |
Ambulance |
Non-Contracted Providers |
7 |
4 |
2021 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
5 |
4 |
2021 |
Aetna Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
6 |
4 |
2021 |
Aetna Health of California Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2021 |
Aetna Health of California Inc. |
Mental Health |
Claims Payment Dispute |
2 |
4 |
2021 |
Aetna Health of California Inc. |
OB/GYN |
Claims Payment Dispute |
1 |
4 |
2021 |
Aetna Health of California Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
3 |
4 |
2021 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
8 |
4 |
2021 |
Alameda Alliance For Health |
Durable Medical Equipment |
Dispute Resolution Problems |
2 |
4 |
2021 |
Alameda Alliance For Health |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
4 |
2021 |
Alignment Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
2 |
4 |
2021 |
Alignment Health Plan |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
4 |
2021 |
Alignment Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2021 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
2 |
4 |
2021 |
Blue Cross of California |
Ambulance |
Contractual Issues |
1 |
4 |
2021 |
Blue Cross of California |
Ambulance |
Dispute Resolution Problems |
1 |
4 |
2021 |
Blue Cross of California |
Ambulance |
Unknown |
1 |
4 |
2021 |
Blue Cross of California |
Chiropractic |
Overpayment/Refund Request |
3 |
4 |
2021 |
Blue Cross of California |
Dental |
Claims Payment Dispute |
1 |
4 |
2021 |
Blue Cross of California |
Durable Medical Equipment |
Dispute Resolution Problems |
8 |
4 |
2021 |
Blue Cross of California |
ER Physician |
Claims Payment Dispute |
7 |
4 |
2021 |
Blue Cross of California |
ER Physician |
Non-Contracted Providers |
2 |
4 |
2021 |
Blue Cross of California |
Home Health Services |
Claims Payment Dispute |
6 |
4 |
2021 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
12 |
4 |
2021 |
Blue Cross of California |
Hospital-Based Physician |
Dispute Resolution Problems |
3 |
4 |
2021 |
Blue Cross of California |
Hospital-Based Physician |
Non-Contracted Providers |
9 |
4 |
2021 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
68 |
4 |
2021 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
15 |
4 |
2021 |
Blue Cross of California |
Hospital/Institutional |
Non-Contracted Providers |
3 |
4 |
2021 |
Blue Cross of California |
Hospital/Institutional |
Other |
1 |
4 |
2021 |
Blue Cross of California |
Laboratory Services |
Claims Payment Dispute |
1 |
4 |
2021 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
47 |
4 |
2021 |
Blue Cross of California |
Mental Health |
Non-Contracted Providers |
4 |
4 |
2021 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
1 |
4 |
2021 |
Blue Cross of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
57 |
4 |
2021 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
13 |
4 |
2021 |
Blue Cross of California |
Other Specialist Providers |
Contractual Issues |
1 |
4 |
2021 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
3 |
4 |
2021 |
Blue Cross of California |
Other Specialist Providers |
Non-Contracted Providers |
2 |
4 |
2021 |
Blue Cross of California |
Pharmacy |
Claims Payment Dispute |
2 |
4 |
2021 |
Blue Cross of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
11 |
4 |
2021 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
5 |
4 |
2021 |
Blue Cross of California |
Vision |
Claims Payment Dispute |
4 |
4 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Ambulance |
Claims Payment Dispute |
24 |
4 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Ambulance |
Dispute Resolution Problems |
1 |
4 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Ambulance |
Overpayment/Refund Request |
1 |
4 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
12 |
4 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Home Health Services |
Claims Payment Dispute |
3 |
4 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Hospital-Based Physician |
Non-Contracted Providers |
2 |
4 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
26 |
4 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
12 |
4 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
8 |
4 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Other |
2 |
4 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
4 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
OB/GYN |
Dispute Resolution Problems |
1 |
4 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
4 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Other |
1 |
4 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
4 |
4 |
2021 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
4 |
2021 |
Blue Shield of California Promise Health Plan |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
4 |
2021 |
Blue Shield of California Promise Health Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
4 |
2021 |
Blue Shield of California Promise Health Plan |
Family/General Practice |
Claims Payment Dispute |
2 |
4 |
2021 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
4 |
2021 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
5 |
4 |
2021 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
9 |
4 |
2021 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
7 |
4 |
2021 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
4 |
2021 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
8 |
4 |
2021 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
24 |
4 |
2021 |
Brown & Toland Health Services, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
3 |
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 |
4 |
2021 |
Delta Dental of California |
Dental |
Overpayment/Refund Request |
2 |
4 |
2021 |
Dignity Health Provider Resources, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2021 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
3 |
4 |
2021 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
23 |
4 |
2021 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
13 |
4 |
2021 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
4 |
4 |
2021 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Other |
3 |
4 |
2021 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
4 |
2021 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
4 |
2021 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
8 |
4 |
2021 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Contractual Issues |
1 |
4 |
2021 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
4 |
2021 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
6 |
4 |
2021 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Overpayment/Refund Request |
3 |
4 |
2021 |
Health Net of California, Inc. |
Anesthesiology |
Claims Payment Dispute |
1 |
4 |
2021 |
Health Net of California, Inc. |
ER Physician |
Claims Payment Dispute |
1 |
4 |
2021 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
6 |
4 |
2021 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
5 |
4 |
2021 |
Health Net of California, Inc. |
Hospital/Institutional |
Other |
1 |
4 |
2021 |
Health Net of California, Inc. |
Laboratory Services |
Claims Payment Dispute |
1 |
4 |
2021 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
13 |
4 |
2021 |
Health Net of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
4 |
2021 |
Health Net of California, Inc. |
Pediatrics |
Dispute Resolution Problems |
1 |
4 |
2021 |
Health Net of California, Inc. |
Pharmacy |
Claims Payment Dispute |
8 |
4 |
2021 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
4 |
2021 |
Holman Professional Counseling Centers |
Mental Health |
Claims Payment Dispute |
2 |
4 |
2021 |
Humana Health Plan of California, Inc. |
Skilled Nursing Facility |
Overpayment/Refund Request |
8 |
4 |
2021 |
Imperial Health Plan of California, Inc. |
Hospital-Based Physician |
Non-Contracted Providers |
4 |
4 |
2021 |
Inland Empire Health Plan |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2021 |
Inland Empire Health Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
4 |
2021 |
Inland Empire Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
4 |
2021 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
3 |
4 |
2021 |
Inland Empire Health Plan |
OB/GYN |
Claims Payment Dispute |
3 |
4 |
2021 |
Inland Empire Health Plan |
OB/GYN |
Contractual Issues |
1 |
4 |
2021 |
Inland Empire Health Plan |
OB/GYN |
Dispute Resolution Problems |
7 |
4 |
2021 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
4 |
2021 |
Kaiser Foundation Health Plan, Inc. |
ER Physician |
Claims Payment Dispute |
3 |
4 |
2021 |
Kaiser Foundation Health Plan, Inc. |
ER Physician |
Contractual Issues |
1 |
4 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
45 |
4 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Contractual Issues |
2 |
4 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
10 |
4 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
5 |
4 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Unknown |
2 |
4 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
27 |
4 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Overpayment/Refund Request |
25 |
4 |
2021 |
Kaiser Foundation Health Plan, Inc. |
OB/GYN |
Claims Payment Dispute |
1 |
4 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
4 |
2021 |
Kaiser Foundation Health Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
6 |
4 |
2021 |
Kern Health Systems |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Anesthesiology |
Non-Contracted Providers |
1 |
4 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Dispute Resolution Problems |
10 |
4 |
2021 |
Local Initiative Health Authority for Los Angeles County |
ER Physician |
Dispute Resolution Problems |
1 |
4 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
25 |
4 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Contractual Issues |
1 |
4 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
155 |
4 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Other |
2 |
4 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Internal Medicine |
Dispute Resolution Problems |
1 |
4 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Mental Health |
Claims Payment Dispute |
2 |
4 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
9 |
4 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Non-Contracted Providers |
1 |
4 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Pharmacy |
Claims Payment Dispute |
25 |
4 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
12 |
4 |
2021 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
4 |
2021 |
Magellan Health Services of California, Inc. - Employer Services |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2021 |
Managed Health Network |
Mental Health |
Claims Payment Dispute |
11 |
4 |
2021 |
Molina Healthcare of California |
Durable Medical Equipment |
Dispute Resolution Problems |
11 |
4 |
2021 |
Molina Healthcare of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
4 |
2021 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
36 |
4 |
2021 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
6 |
4 |
2021 |
Molina Healthcare of California |
Hospital/Institutional |
Other |
1 |
4 |
2021 |
Molina Healthcare of California |
Hospital/Institutional |
Overpayment/Refund Request |
22 |
4 |
2021 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
22 |
4 |
2021 |
Molina Healthcare of California |
Other Specialist Providers |
Contractual Issues |
2 |
4 |
2021 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
21 |
4 |
2021 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
11 |
4 |
2021 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
4 |
2021 |
Orange County Health Authority |
Home Health Services |
Claims Payment Dispute |
8 |
4 |
2021 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2021 |
Oscar Health Plan of California |
Ambulance |
Non-Contracted Providers |
2 |
4 |
2021 |
Oscar Health Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
25 |
4 |
2021 |
Oscar Health Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
13 |
4 |
2021 |
Oscar Health Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
3 |
4 |
2021 |
Partnership HealthPlan of California |
Hospital-Based Physician |
Other |
1 |
4 |
2021 |
Partnership HealthPlan of California |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2021 |
San Joaquin County Health Commission |
Ambulance |
Overpayment/Refund Request |
2 |
4 |
2021 |
San Joaquin County Health Commission |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2021 |
San Mateo Health Commission |
Durable Medical Equipment |
Dispute Resolution Problems |
7 |
4 |
2021 |
Santa Clara County |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2021 |
Santa Clara County |
On Call Physicians (Not ER) |
Claims Payment Dispute |
1 |
4 |
2021 |
Santa Clara County |
Other Specialist Providers |
Claims Payment Dispute |
3 |
4 |
2021 |
Sharp Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2021 |
Sistemas Medicos Nacionales, S.A.de C.V. |
Hospital/Institutional |
Other |
1 |
4 |
2021 |
U.S. Behavioral Health Plan, California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2021 |
U.S. Behavioral Health Plan, California |
Mental Health |
Claims Payment Dispute |
2 |
4 |
2021 |
UHC of California |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
4 |
2021 |
UHC of California |
ER Physician |
Claims Payment Dispute |
1 |
4 |
2021 |
UHC of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
4 |
2021 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
4 |
4 |
2021 |
UHC of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2021 |
UHC of California |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2021 |
UHC of California |
OB/GYN |
Claims Payment Dispute |
1 |
4 |
2021 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2021 |
UHC of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
1 |
4 |
2021 |
UHC of California |
Physical/Speech/Occupational Therapy |
Non-Contracted Providers |
5 |
4 |
2021 |
UHC of California |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2021 |
UnitedHealthcare Benefits Plan of California |
Home Health Services |
Claims Payment Dispute |
1 |
4 |
2021 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
4 |
2021 |
UnitedHealthcare Benefits Plan of California |
Pediatrics |
Dispute Resolution Problems |
5 |
4 |
2021 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
13 |
4 |
2021 |
Universal Care, Inc. |
Hospital-Based Physician |
Non-Contracted Providers |
4 |
4 |
2021 |
Universal Care, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
10 |
4 |
2021 |
WellCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2021 |
WellCare of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
4 |
2021 |
Western Health Advantage |
Laboratory Services |
Claims Payment Dispute |
1 |
1 |
2022 |
Aetna Better Health of California Inc. |
Ambulance |
Claims Payment Dispute |
1 |
1 |
2022 |
Aetna Better Health of California Inc. |
Ambulance |
Non-Contracted Providers |
2 |
1 |
2022 |
Aetna Better Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2022 |
Aetna Better Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
7 |
1 |
2022 |
Aetna Better Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2022 |
Aetna Better Health of California Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
1 |
2022 |
Aetna Health of California Inc. |
Ambulance |
Dispute Resolution Problems |
1 |
1 |
2022 |
Aetna Health of California Inc. |
Anesthesiology |
Claims Payment Dispute |
1 |
1 |
2022 |
Aetna Health of California Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2022 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
10 |
1 |
2022 |
Aetna Health of California Inc. |
Hospital/Institutional |
Contractual Issues |
1 |
1 |
2022 |
Aetna Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
1 |
2022 |
Aetna Health of California Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
1 |
2022 |
Aetna Health of California Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
1 |
2022 |
Aetna Health of California Inc. |
OB/GYN |
Claims Payment Dispute |
1 |
1 |
2022 |
Aetna Health of California Inc. |
On Call Physicians (Not ER) |
Claims Payment Dispute |
1 |
1 |
2022 |
Aetna Health of California Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2022 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
6 |
1 |
2022 |
Aetna Health of California Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2022 |
Aetna Health of California Inc. |
Pharmacy |
Claims Payment Dispute |
1 |
1 |
2022 |
Alameda Alliance For Health |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
1 |
2022 |
Alignment Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2022 |
Alignment Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2022 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
5 |
1 |
2022 |
Blue Cross of California |
Ambulance |
Non-Contracted Providers |
8 |
1 |
2022 |
Blue Cross of California |
Ambulance |
Unknown |
2 |
1 |
2022 |
Blue Cross of California |
Anesthesiology |
Claims Payment Dispute |
1 |
1 |
2022 |
Blue Cross of California |
Chiropractic |
Claims Payment Dispute |
1 |
1 |
2022 |
Blue Cross of California |
Chiropractic |
Overpayment/Refund Request |
1 |
1 |
2022 |
Blue Cross of California |
Dental |
Claims Payment Dispute |
1 |
1 |
2022 |
Blue Cross of California |
Durable Medical Equipment |
Claims Payment Dispute |
3 |
1 |
2022 |
Blue Cross of California |
Durable Medical Equipment |
Dispute Resolution Problems |
2 |
1 |
2022 |
Blue Cross of California |
ER Physician |
Non-Contracted Providers |
4 |
1 |
2022 |
Blue Cross of California |
Family/General Practice |
Claims Payment Dispute |
1 |
1 |
2022 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
1 |
2022 |
Blue Cross of California |
Hospital-Based Physician |
Contractual Issues |
1 |
1 |
2022 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
37 |
1 |
2022 |
Blue Cross of California |
Hospital/Institutional |
Contractual Issues |
3 |
1 |
2022 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
1 |
2022 |
Blue Cross of California |
Hospital/Institutional |
Non-Contracted Providers |
2 |
1 |
2022 |
Blue Cross of California |
Hospital/Institutional |
Other |
2 |
1 |
2022 |
Blue Cross of California |
Internal Medicine |
Claims Payment Dispute |
278 |
1 |
2022 |
Blue Cross of California |
Laboratory Services |
Claims Payment Dispute |
1 |
1 |
2022 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
65 |
1 |
2022 |
Blue Cross of California |
Mental Health |
Dispute Resolution Problems |
1 |
1 |
2022 |
Blue Cross of California |
Mental Health |
Non-Contracted Providers |
2 |
1 |
2022 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
6 |
1 |
2022 |
Blue Cross of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2022 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
7 |
1 |
2022 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
1 |
2022 |
Blue Cross of California |
Other Specialist Providers |
Non-Contracted Providers |
1 |
1 |
2022 |
Blue Cross of California |
Pediatrics |
Claims Payment Dispute |
2 |
1 |
2022 |
Blue Cross of California |
Pharmacy |
Claims Payment Dispute |
7 |
1 |
2022 |
Blue Cross of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
12 |
1 |
2022 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
1 |
2022 |
Blue Cross of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
1 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Ambulance |
Claims Payment Dispute |
7 |
1 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
22 |
1 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
10 |
1 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
1 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
1 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
OB/GYN |
Claims Payment Dispute |
1 |
1 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
17 |
1 |
2022 |
Blue Shield of California Promise Health Plan |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2022 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
21 |
1 |
2022 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
11 |
1 |
2022 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
6 |
1 |
2022 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2022 |
Blue Shield of California Promise Health Plan |
Pharmacy |
Claims Payment Dispute |
1 |
1 |
2022 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
1 |
2022 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
4 |
1 |
2022 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Other |
2 |
1 |
2022 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Overpayment/Refund Request |
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 |
1 |
2022 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
1 |
1 |
2022 |
Health Net Community Solutions, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
1 |
2022 |
Health Net Community Solutions, Inc. |
Ambulance |
Dispute Resolution Problems |
1 |
1 |
2022 |
Health Net Community Solutions, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
1 |
2022 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
46 |
1 |
2022 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
8 |
1 |
2022 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
1 |
2022 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2022 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
14 |
1 |
2022 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
1 |
2022 |
Health Net Health Plan of Oregon, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2022 |
Health Net of California, Inc. |
Dental |
Claims Payment Dispute |
1 |
1 |
2022 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
6 |
1 |
2022 |
Health Net of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
7 |
1 |
2022 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
9 |
1 |
2022 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2022 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
4 |
1 |
2022 |
Health Net of California, Inc. |
Hospital/Institutional |
Unknown |
1 |
1 |
2022 |
Health Net of California, Inc. |
OB/GYN |
Claims Payment Dispute |
1 |
1 |
2022 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
1 |
2022 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
7 |
1 |
2022 |
Health Net of California, Inc. |
Other Specialist Providers |
Overpayment/Refund Request |
1 |
1 |
2022 |
Health Net of California, Inc. |
Pharmacy |
Claims Payment Dispute |
16 |
1 |
2022 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
12 |
1 |
2022 |
HealthCare Partners Medical Plan, Llc. |
Physical/Speech/Occupational Therapy |
Contractual Issues |
1 |
1 |
2022 |
Heritage Provider Network, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2022 |
Human Affairs International of California |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2022 |
Humana Health Plan of California, Inc. |
Anesthesiology |
Claims Payment Dispute |
11 |
1 |
2022 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
5 |
1 |
2022 |
Inland Empire Health Plan |
Durable Medical Equipment |
Non-Contracted Providers |
9 |
1 |
2022 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2022 |
Inland Empire Health Plan |
OB/GYN |
Claims Payment Dispute |
3 |
1 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
138 |
1 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Contractual Issues |
2 |
1 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
1 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
5 |
1 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
1 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Skilled Nursing Facility |
Contractual Issues |
1 |
1 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
10 |
1 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Claims Payment Dispute |
7 |
1 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Family/General Practice |
Claims Payment Dispute |
4 |
1 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Family/General Practice |
Non-Contracted Providers |
1 |
1 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
71 |
1 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
73 |
1 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Internal Medicine |
Claims Payment Dispute |
7 |
1 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2022 |
Local Initiative Health Authority for Los Angeles County |
On Call Physicians (Not ER) |
Claims Payment Dispute |
1 |
1 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
17 |
1 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
1 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Pharmacy |
Claims Payment Dispute |
173 |
1 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
60 |
1 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
1 |
2022 |
Los Angeles County Department of Health Services |
Home Health Services |
Other |
2 |
1 |
2022 |
Molina Healthcare of California |
Ambulance |
Claims Payment Dispute |
2 |
1 |
2022 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
32 |
1 |
2022 |
Molina Healthcare of California |
Hospital/Institutional |
Contractual Issues |
1 |
1 |
2022 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
1 |
2022 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
4 |
1 |
2022 |
Molina Healthcare of California |
Hospital/Institutional |
Other |
1 |
1 |
2022 |
Molina Healthcare of California |
Hospital/Institutional |
Overpayment/Refund Request |
3 |
1 |
2022 |
Molina Healthcare of California |
Hospital/Institutional |
Unknown |
2 |
1 |
2022 |
Molina Healthcare of California |
Mental Health |
Overpayment/Refund Request |
1 |
1 |
2022 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2022 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
12 |
1 |
2022 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
9 |
1 |
2022 |
Molina Healthcare of California |
Pediatrics |
Claims Payment Dispute |
8 |
1 |
2022 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
33 |
1 |
2022 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
4 |
1 |
2022 |
Molina Healthcare of California |
Skilled Nursing Facility |
Overpayment/Refund Request |
2 |
1 |
2022 |
Orange County Health Authority |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2022 |
Orange County Health Authority |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2022 |
Oscar Health Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
33 |
1 |
2022 |
Oscar Health Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2022 |
Oscar Health Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2022 |
Oscar Health Plan of California |
Physical/Speech/Occupational Therapy |
Dispute Resolution Problems |
1 |
1 |
2022 |
Partnership HealthPlan of California |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2022 |
San Joaquin County Health Commission |
Hospital/Institutional |
Claims Payment Dispute |
28 |
1 |
2022 |
San Joaquin County Health Commission |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2022 |
San Joaquin County Health Commission |
Hospital/Institutional |
Non-Contracted Providers |
25 |
1 |
2022 |
San Mateo Health Commission |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2022 |
Scan Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2022 |
Scan Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
2 |
1 |
2022 |
SilverScript Insurance Company |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2022 |
Sutter Health Alliance |
Internal Medicine |
Claims Payment Dispute |
1 |
1 |
2022 |
Sutter Health Alliance |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
2 |
1 |
2022 |
U.S. Behavioral Health Plan, California |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2022 |
UHC of California |
Ambulance |
Dispute Resolution Problems |
1 |
1 |
2022 |
UHC of California |
Ambulance |
Non-Contracted Providers |
2 |
1 |
2022 |
UHC of California |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
1 |
2022 |
UHC of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
1 |
2022 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
4 |
1 |
2022 |
UHC of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2022 |
UHC of California |
OB/GYN |
Dispute Resolution Problems |
1 |
1 |
2022 |
UHC of California |
Physical/Speech/Occupational Therapy |
Dispute Resolution Problems |
7 |
1 |
2022 |
UnitedHealthcare Benefits Plan of California |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2022 |
UnitedHealthcare Benefits Plan of California |
Home Health Services |
Claims Payment Dispute |
2 |
1 |
2022 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2022 |
UnitedHealthcare Benefits Plan of California |
Mental Health |
Claims Payment Dispute |
9 |
1 |
2022 |
UnitedHealthcare Benefits Plan of California |
OB/GYN |
Claims Payment Dispute |
1 |
1 |
2022 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
2 |
1 |
2022 |
UnitedHealthcare Community Plan of California, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
1 |
2022 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
6 |
1 |
2022 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
1 |
2022 |
Universal Care, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2022 |
WellCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
1 |
2022 |
WellCare of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2022 |
Western Health Advantage |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2022 |
Western Health Advantage |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
2 |
2022 |
Aetna Better Health of California Inc. |
Ambulance |
Non-Contracted Providers |
2 |
2 |
2022 |
Aetna Better Health of California Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
2 |
2022 |
Aetna Better Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
2 |
2022 |
Aetna Health of California Inc. |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2022 |
Aetna Health of California Inc. |
Ambulance |
Dispute Resolution Problems |
2 |
2 |
2022 |
Aetna Health of California Inc. |
Ambulance |
Non-Contracted Providers |
7 |
2 |
2022 |
Aetna Health of California Inc. |
Anesthesiology |
Claims Payment Dispute |
1 |
2 |
2022 |
Aetna Health of California Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2022 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
6 |
2 |
2022 |
Aetna Health of California Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2022 |
Aetna Health of California Inc. |
Hospital/Institutional |
Other |
1 |
2 |
2022 |
Aetna Health of California Inc. |
Mental Health |
Claims Payment Dispute |
1 |
2 |
2022 |
Aetna Health of California Inc. |
OB/GYN |
Claims Payment Dispute |
1 |
2 |
2022 |
Aetna Health of California Inc. |
OB/GYN |
Other |
1 |
2 |
2022 |
Aetna Health of California Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
2 |
2022 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
24 |
2 |
2022 |
Aetna Health of California Inc. |
Other Specialist Providers |
Contractual Issues |
1 |
2 |
2022 |
Aetna Health of California Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
2 |
2022 |
Aetna Health of California Inc. |
Other Specialist Providers |
Non-Contracted Providers |
5 |
2 |
2022 |
Aetna Health of California Inc. |
Other Specialist Providers |
Overpayment/Refund Request |
1 |
2 |
2022 |
Alameda Alliance For Health |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2022 |
Alignment Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
16 |
2 |
2022 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
6 |
2 |
2022 |
Blue Cross of California |
Ambulance |
Non-Contracted Providers |
3 |
2 |
2022 |
Blue Cross of California |
Ambulance |
Unknown |
1 |
2 |
2022 |
Blue Cross of California |
Anesthesiology |
Claims Payment Dispute |
1 |
2 |
2022 |
Blue Cross of California |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
2 |
2022 |
Blue Cross of California |
Family/General Practice |
Claims Payment Dispute |
14 |
2 |
2022 |
Blue Cross of California |
Home Health Services |
Claims Payment Dispute |
50 |
2 |
2022 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
45 |
2 |
2022 |
Blue Cross of California |
Hospital/Institutional |
Contractual Issues |
1 |
2 |
2022 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
7 |
2 |
2022 |
Blue Cross of California |
Hospital/Institutional |
Non-Contracted Providers |
4 |
2 |
2022 |
Blue Cross of California |
Hospital/Institutional |
Other |
2 |
2 |
2022 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
61 |
2 |
2022 |
Blue Cross of California |
Mental Health |
Overpayment/Refund Request |
1 |
2 |
2022 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
3 |
2 |
2022 |
Blue Cross of California |
OB/GYN |
Contractual Issues |
4 |
2 |
2022 |
Blue Cross of California |
On Call Physicians (Not ER) |
Claims Payment Dispute |
1 |
2 |
2022 |
Blue Cross of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
4 |
2 |
2022 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
24 |
2 |
2022 |
Blue Cross of California |
Other Specialist Providers |
Contractual Issues |
1 |
2 |
2022 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
7 |
2 |
2022 |
Blue Cross of California |
Other Specialist Providers |
Non-Contracted Providers |
1 |
2 |
2022 |
Blue Cross of California |
Pediatrics |
Claims Payment Dispute |
2 |
2 |
2022 |
Blue Cross of California |
Pharmacy |
Claims Payment Dispute |
1 |
2 |
2022 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
2 |
2022 |
Blue Cross of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
2 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Ambulance |
Claims Payment Dispute |
8 |
2 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Ambulance |
Non-Contracted Providers |
1 |
2 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
ER Physician |
Claims Payment Dispute |
1 |
2 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
11 |
2 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
11 |
2 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
8 |
2 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
3 |
2 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
5 |
2 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
2 |
2022 |
Blue Shield of California Promise Health Plan |
Ambulance |
Claims Payment Dispute |
2 |
2 |
2022 |
Blue Shield of California Promise Health Plan |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
2 |
2022 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2022 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
40 |
2 |
2022 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
15 |
2 |
2022 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
5 |
2 |
2022 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Contractual Issues |
1 |
2 |
2022 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
2 |
2022 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Non-Contracted Providers |
1 |
2 |
2022 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
15 |
2 |
2022 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
21 |
2 |
2022 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Overpayment/Refund Request |
2 |
2 |
2022 |
Brown & Toland Health Services, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
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 |
2 |
2022 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
1 |
2 |
2022 |
Dental Benefit Providers of California, Inc. |
Dental |
Claims Payment Dispute |
2 |
2 |
2022 |
Golden State Medicare Health Plan |
Chiropractic |
Claims Payment Dispute |
4 |
2 |
2022 |
Health Net Community Solutions, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2022 |
Health Net Community Solutions, Inc. |
Ambulance |
Dispute Resolution Problems |
1 |
2 |
2022 |
Health Net Community Solutions, Inc. |
ER Physician |
Claims Payment Dispute |
1 |
2 |
2022 |
Health Net Community Solutions, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2022 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
17 |
2 |
2022 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
7 |
2 |
2022 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
2 |
2022 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Other |
1 |
2 |
2022 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
2 |
2022 |
Health Net Community Solutions, Inc. |
Internal Medicine |
Dispute Resolution Problems |
1 |
2 |
2022 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
3 |
2 |
2022 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
10 |
2 |
2022 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Contractual Issues |
2 |
2 |
2022 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
2 |
2022 |
Health Net Community Solutions, Inc. |
Pharmacy |
Claims Payment Dispute |
5 |
2 |
2022 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
23 |
2 |
2022 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
7 |
2 |
2022 |
Health Net of California, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2022 |
Health Net of California, Inc. |
Family/General Practice |
Claims Payment Dispute |
1 |
2 |
2022 |
Health Net of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2022 |
Health Net of California, Inc. |
Hospital-Based Physician |
Non-Contracted Providers |
2 |
2 |
2022 |
Health Net of California, Inc. |
Hospital-Based Physician |
Other |
2 |
2 |
2022 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
11 |
2 |
2022 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
2 |
2022 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
2 |
2022 |
Health Net of California, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
2 |
2022 |
Health Net of California, Inc. |
OB/GYN |
Claims Payment Dispute |
1 |
2 |
2022 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
2 |
2022 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
21 |
2 |
2022 |
Health Net of California, Inc. |
Other Specialist Providers |
Contractual Issues |
2 |
2 |
2022 |
Health Net of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
2 |
2022 |
Health Net of California, Inc. |
Other Specialist Providers |
Overpayment/Refund Request |
1 |
2 |
2022 |
Health Net of California, Inc. |
Pharmacy |
Claims Payment Dispute |
8 |
2 |
2022 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
2 |
2022 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
2 |
2022 |
Humana Health Plan of California, Inc. |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
1 |
2 |
2022 |
Inland Empire Health Plan |
Durable Medical Equipment |
Non-Contracted Providers |
5 |
2 |
2022 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
4 |
2 |
2022 |
Inland Empire Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2022 |
Inland Empire Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2022 |
Inland Empire Health Plan |
OB/GYN |
Claims Payment Dispute |
5 |
2 |
2022 |
Inland Empire Health Plan |
OB/GYN |
Other |
1 |
2 |
2022 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2022 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
8 |
2 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
9 |
2 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
2 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
14 |
2 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
65 |
2 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
6 |
2 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Other |
1 |
2 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
79 |
2 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Overpayment/Refund Request |
7 |
2 |
2022 |
Kaiser Foundation Health Plan, Inc. |
On Call Physicians (Not ER) |
Claims Payment Dispute |
2 |
2 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
2 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
9 |
2 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Dispute Resolution Problems |
1 |
2 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Claims Payment Dispute |
4 |
2 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
2 |
2022 |
Local Initiative Health Authority for Los Angeles County |
ER Physician |
Claims Payment Dispute |
1 |
2 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
25 |
2 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
45 |
2 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
2 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Internal Medicine |
Claims Payment Dispute |
1 |
2 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Claims Payment Dispute |
3 |
2 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
12 |
2 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Pediatrics |
Claims Payment Dispute |
4 |
2 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Pediatrics |
Dispute Resolution Problems |
3 |
2 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
5 |
2 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
2 |
2022 |
Molina Healthcare of California |
Ambulance |
Claims Payment Dispute |
3 |
2 |
2022 |
Molina Healthcare of California |
Ambulance |
Dispute Resolution Problems |
1 |
2 |
2022 |
Molina Healthcare of California |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
2 |
2022 |
Molina Healthcare of California |
Family/General Practice |
Claims Payment Dispute |
1 |
2 |
2022 |
Molina Healthcare of California |
Home Health Services |
Claims Payment Dispute |
1 |
2 |
2022 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
36 |
2 |
2022 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
10 |
2 |
2022 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
7 |
2 |
2022 |
Molina Healthcare of California |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
2 |
2022 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
2 |
2022 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
17 |
2 |
2022 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
10 |
2 |
2022 |
Molina Healthcare of California |
Other Specialist Providers |
Overpayment/Refund Request |
12 |
2 |
2022 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
8 |
2 |
2022 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
2 |
2022 |
Molina Healthcare of California |
Skilled Nursing Facility |
Overpayment/Refund Request |
5 |
2 |
2022 |
Monarch Health Plan, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
2 |
2022 |
Optum Health Plan of California |
Mental Health |
Claims Payment Dispute |
12 |
2 |
2022 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
5 |
2 |
2022 |
Orange County Health Authority |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
2 |
2022 |
Orange County Health Authority |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2022 |
Orange County Health Authority |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
2 |
2022 |
Orange County Health Authority |
Physical/Speech/Occupational Therapy |
Contractual Issues |
10 |
2 |
2022 |
Oscar Health Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
4 |
2 |
2022 |
Oscar Health Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2022 |
Oscar Health Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
2 |
2 |
2022 |
Oscar Health Plan of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
2 |
2022 |
Oscar Health Plan of California |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
2 |
2022 |
Oscar Health Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
7 |
2 |
2022 |
Oscar Health Plan of California |
Other Specialist Providers |
Non-Contracted Providers |
1 |
2 |
2022 |
Oscar Health Plan of California |
Pediatrics |
Overpayment/Refund Request |
2 |
2 |
2022 |
Partnership HealthPlan of California |
Ambulance |
Non-Contracted Providers |
1 |
2 |
2022 |
Partnership HealthPlan of California |
Hospital/Institutional |
Claims Payment Dispute |
2 |
2 |
2022 |
San Francisco Health Authority |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
2 |
2022 |
San Francisco Health Authority |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2022 |
San Joaquin County Health Commission |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2022 |
Santa Clara County |
Internal Medicine |
Dispute Resolution Problems |
6 |
2 |
2022 |
Santa Clara County Health Authority |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2022 |
Santa Clara County Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2022 |
Scan Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
2 |
2 |
2022 |
Scan Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2022 |
U.S. Behavioral Health Plan, California |
Mental Health |
Claims Payment Dispute |
25 |
2 |
2022 |
UHC of California |
Ambulance |
Non-Contracted Providers |
1 |
2 |
2022 |
UHC of California |
Home Health Services |
Overpayment/Refund Request |
1 |
2 |
2022 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
2 |
2 |
2022 |
UHC of California |
OB/GYN |
Claims Payment Dispute |
1 |
2 |
2022 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
2 |
2 |
2022 |
UHC of California |
Pharmacy |
Claims Payment Dispute |
2 |
2 |
2022 |
UHC of California |
Physical/Speech/Occupational Therapy |
Dispute Resolution Problems |
1 |
2 |
2022 |
UHC of California |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
2 |
2022 |
UnitedHealthcare Benefits Plan of California |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2022 |
UnitedHealthcare Benefits Plan of California |
Ambulance |
Non-Contracted Providers |
2 |
2 |
2022 |
UnitedHealthcare Benefits Plan of California |
Anesthesiology |
Non-Contracted Providers |
1 |
2 |
2022 |
UnitedHealthcare Benefits Plan of California |
Anesthesiology |
Unknown |
1 |
2 |
2022 |
UnitedHealthcare Benefits Plan of California |
Home Health Services |
Claims Payment Dispute |
4 |
2 |
2022 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
4 |
2 |
2022 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2022 |
UnitedHealthcare Benefits Plan of California |
Mental Health |
Non-Contracted Providers |
10 |
2 |
2022 |
UnitedHealthcare Benefits Plan of California |
OB/GYN |
Dispute Resolution Problems |
1 |
2 |
2022 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
11 |
2 |
2022 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Dispute Resolution Problems |
6 |
2 |
2022 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
13 |
2 |
2022 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
2 |
2022 |
Universal Care, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2022 |
WellCare of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
6 |
2 |
2022 |
WellCare of California, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
2 |
2022 |
Western Health Advantage |
ER Physician |
Non-Contracted Providers |
1 |
2 |
2022 |
Western Health Advantage |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2022 |
Western Health Advantage |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
1 |
3 |
2022 |
Aetna Better Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
4 |
3 |
2022 |
Aetna Better Health of California Inc. |
Other Specialist Providers |
Contractual Issues |
1 |
3 |
2022 |
Aetna Better Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2022 |
Aetna Health of California Inc. |
Ambulance |
Non-Contracted Providers |
2 |
3 |
2022 |
Aetna Health of California Inc. |
Family/General Practice |
Claims Payment Dispute |
1 |
3 |
2022 |
Aetna Health of California Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
39 |
3 |
2022 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
36 |
3 |
2022 |
Aetna Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
3 |
2022 |
Aetna Health of California Inc. |
Hospital/Institutional |
Non-Contracted Providers |
7 |
3 |
2022 |
Aetna Health of California Inc. |
Laboratory Services |
Claims Payment Dispute |
4 |
3 |
2022 |
Aetna Health of California Inc. |
Mental Health |
Claims Payment Dispute |
1 |
3 |
2022 |
Aetna Health of California Inc. |
OB/GYN |
Claims Payment Dispute |
1 |
3 |
2022 |
Aetna Health of California Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
3 |
2022 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
15 |
3 |
2022 |
Aetna Health of California Inc. |
Other Specialist Providers |
Contractual Issues |
1 |
3 |
2022 |
Aetna Health of California Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
3 |
2022 |
Alameda Alliance For Health |
Mental Health |
Dispute Resolution Problems |
1 |
3 |
2022 |
Alignment Health Plan |
Home Health Services |
Overpayment/Refund Request |
4 |
3 |
2022 |
Alignment Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2022 |
Alignment Health Plan |
Hospital-Based Physician |
Non-Contracted Providers |
13 |
3 |
2022 |
Alignment Health Plan |
Other Specialist Providers |
Non-Contracted Providers |
1 |
3 |
2022 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
2 |
3 |
2022 |
Blue Cross of California |
Ambulance |
Dispute Resolution Problems |
1 |
3 |
2022 |
Blue Cross of California |
Ambulance |
Non-Contracted Providers |
3 |
3 |
2022 |
Blue Cross of California |
Anesthesiology |
Claims Payment Dispute |
1 |
3 |
2022 |
Blue Cross of California |
Family/General Practice |
Claims Payment Dispute |
5 |
3 |
2022 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
5 |
3 |
2022 |
Blue Cross of California |
Hospital-Based Physician |
Dispute Resolution Problems |
2 |
3 |
2022 |
Blue Cross of California |
Hospital-Based Physician |
Unknown |
1 |
3 |
2022 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
30 |
3 |
2022 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
8 |
3 |
2022 |
Blue Cross of California |
Hospital/Institutional |
Non-Contracted Providers |
5 |
3 |
2022 |
Blue Cross of California |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
3 |
2022 |
Blue Cross of California |
Internal Medicine |
Claims Payment Dispute |
1 |
3 |
2022 |
Blue Cross of California |
Internal Medicine |
Dispute Resolution Problems |
1 |
3 |
2022 |
Blue Cross of California |
Laboratory Services |
Claims Payment Dispute |
1 |
3 |
2022 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
29 |
3 |
2022 |
Blue Cross of California |
Mental Health |
Contractual Issues |
10 |
3 |
2022 |
Blue Cross of California |
Mental Health |
Dispute Resolution Problems |
1 |
3 |
2022 |
Blue Cross of California |
Mental Health |
Non-Contracted Providers |
3 |
3 |
2022 |
Blue Cross of California |
Mental Health |
Other |
1 |
3 |
2022 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
3 |
3 |
2022 |
Blue Cross of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
3 |
2022 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
54 |
3 |
2022 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
8 |
3 |
2022 |
Blue Cross of California |
Other Specialist Providers |
Non-Contracted Providers |
3 |
3 |
2022 |
Blue Cross of California |
Other Specialist Providers |
Overpayment/Refund Request |
1 |
3 |
2022 |
Blue Cross of California |
Pharmacy |
Claims Payment Dispute |
5 |
3 |
2022 |
Blue Cross of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
15 |
3 |
2022 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
10 |
3 |
2022 |
Blue Cross of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
3 |
2022 |
Blue Cross of California |
Skilled Nursing Facility |
Other |
2 |
3 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Home Health Services |
Dispute Resolution Problems |
1 |
3 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Home Health Services |
Other |
1 |
3 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
29 |
3 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
27 |
3 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
4 |
3 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
3 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
12 |
3 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Contractual Issues |
1 |
3 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
3 |
2022 |
Blue Shield of California Promise Health Plan |
ER Physician |
Non-Contracted Providers |
4 |
3 |
2022 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2022 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
61 |
3 |
2022 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Contractual Issues |
1 |
3 |
2022 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
9 |
3 |
2022 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Other |
1 |
3 |
2022 |
Blue Shield of California Promise Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
3 |
2022 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
2 |
3 |
2022 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Contractual Issues |
2 |
3 |
2022 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
8 |
3 |
2022 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Other |
1 |
3 |
2022 |
Blue Shield of California Promise Health Plan |
Pharmacy |
Claims Payment Dispute |
1 |
3 |
2022 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
21 |
3 |
2022 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
13 |
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 |
3 |
2022 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
2 |
3 |
2022 |
Delta Dental of California |
Dental |
Dispute Resolution Problems |
5 |
3 |
2022 |
Delta Dental of California |
Dental |
Other |
1 |
3 |
2022 |
Essence Healthcare of California, Inc. |
Laboratory Services |
Claims Payment Dispute |
1 |
3 |
2022 |
EYEXAM of California, Inc. |
Other Specialist Providers |
Contractual Issues |
1 |
3 |
2022 |
Golden State Medicare Health Plan |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
3 |
2022 |
Golden State Medicare Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
3 |
2022 |
Golden State Medicare Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
3 |
2022 |
Health Net Community Solutions, Inc. |
Ambulance |
Claims Payment Dispute |
2 |
3 |
2022 |
Health Net Community Solutions, Inc. |
Ambulance |
Dispute Resolution Problems |
1 |
3 |
2022 |
Health Net Community Solutions, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2022 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
47 |
3 |
2022 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
3 |
2022 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
3 |
2022 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Other |
4 |
3 |
2022 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
3 |
2022 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Contractual Issues |
1 |
3 |
2022 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2022 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Overpayment/Refund Request |
1 |
3 |
2022 |
Health Net Community Solutions, Inc. |
Pharmacy |
Claims Payment Dispute |
10 |
3 |
2022 |
Health Net Community Solutions, Inc. |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
3 |
3 |
2022 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
8 |
3 |
2022 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
5 |
3 |
2022 |
Health Net Health Plan of Oregon, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2022 |
Health Net of California, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2022 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
3 |
2022 |
Health Net of California, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
3 |
2022 |
Health Net of California, Inc. |
Family/General Practice |
Claims Payment Dispute |
5 |
3 |
2022 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
10 |
3 |
2022 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
3 |
2022 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
9 |
3 |
2022 |
Health Net of California, Inc. |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
3 |
2022 |
Health Net of California, Inc. |
Laboratory Services |
Claims Payment Dispute |
4 |
3 |
2022 |
Health Net of California, Inc. |
Laboratory Services |
Overpayment/Refund Request |
1 |
3 |
2022 |
Health Net of California, Inc. |
Mental Health |
Contractual Issues |
3 |
3 |
2022 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
8 |
3 |
2022 |
Health Net of California, Inc. |
Other Specialist Providers |
Contractual Issues |
2 |
3 |
2022 |
Health Net of California, Inc. |
Other Specialist Providers |
Overpayment/Refund Request |
19 |
3 |
2022 |
Health Net of California, Inc. |
Pharmacy |
Claims Payment Dispute |
5 |
3 |
2022 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
3 |
2022 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
3 |
2022 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2022 |
Humana Health Plan of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
3 |
2022 |
Humana Health Plan of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2022 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
4 |
3 |
2022 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
7 |
3 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
3 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
31 |
3 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
3 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Unknown |
171 |
3 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Non-Contracted Providers |
1 |
3 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Contractual Issues |
2 |
3 |
2022 |
Kern Health Systems |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2022 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Claims Payment Dispute |
5 |
3 |
2022 |
Laurel Dental Plan, Inc. |
Dental |
Claims Payment Dispute |
1 |
3 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
4 |
3 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Dispute Resolution Problems |
3 |
3 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Overpayment/Refund Request |
1 |
3 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Dispute Resolution Problems |
3 |
3 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
98 |
3 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
62 |
3 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Non-Contracted Providers |
5 |
3 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Other |
2 |
3 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Internal Medicine |
Claims Payment Dispute |
1 |
3 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Mental Health |
Claims Payment Dispute |
1 |
3 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
13 |
3 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Pharmacy |
Claims Payment Dispute |
1 |
3 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
3 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Dispute Resolution Problems |
4 |
3 |
2022 |
Los Angeles County Department of Health Services |
Home Health Services |
Other |
2 |
3 |
2022 |
Molina Healthcare of California |
Family/General Practice |
Claims Payment Dispute |
8 |
3 |
2022 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
84 |
3 |
2022 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
8 |
3 |
2022 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
12 |
3 |
2022 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
3 |
2022 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
5 |
3 |
2022 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
14 |
3 |
2022 |
Molina Healthcare of California |
Other Specialist Providers |
Overpayment/Refund Request |
2 |
3 |
2022 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
3 |
2022 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
3 |
2022 |
Molina Healthcare of California |
Skilled Nursing Facility |
Overpayment/Refund Request |
3 |
3 |
2022 |
Orange County Health Authority |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
3 |
2022 |
Orange County Health Authority |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
3 |
2022 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
3 |
3 |
2022 |
Orange County Health Authority |
Other Ancillary Service Providers |
Other |
1 |
3 |
2022 |
Oscar Health Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
5 |
3 |
2022 |
Oscar Health Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
3 |
2022 |
Oscar Health Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
3 |
3 |
2022 |
Oscar Health Plan of California |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2022 |
PRIMECARE Medical Network, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2022 |
San Joaquin County Health Commission |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
3 |
2022 |
San Joaquin County Health Commission |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2022 |
San Mateo Health Commission |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2022 |
Scan Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
2 |
3 |
2022 |
Scan Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2022 |
Sharp Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2022 |
Sharp Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2022 |
Sutter Health Alliance |
Other Specialist Providers |
Dispute Resolution Problems |
6 |
3 |
2022 |
Sutter Health Alliance |
Pediatrics |
Claims Payment Dispute |
1 |
3 |
2022 |
U.S. Behavioral Health Plan, California |
Mental Health |
Overpayment/Refund Request |
2 |
3 |
2022 |
UHC of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2022 |
UHC of California |
Hospital-Based Physician |
Unknown |
1 |
3 |
2022 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
4 |
3 |
2022 |
UHC of California |
Hospital/Institutional |
Contractual Issues |
1 |
3 |
2022 |
UHC of California |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
3 |
2022 |
UHC of California |
Hospital/Institutional |
Non-Contracted Providers |
2 |
3 |
2022 |
UHC of California |
Hospital/Institutional |
Other |
1 |
3 |
2022 |
UHC of California |
Laboratory Services |
Dispute Resolution Problems |
1 |
3 |
2022 |
UHC of California |
Mental Health |
Claims Payment Dispute |
1 |
3 |
2022 |
UHC of California |
Mental Health |
Dispute Resolution Problems |
8 |
3 |
2022 |
UHC of California |
Mental Health |
Overpayment/Refund Request |
2 |
3 |
2022 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
6 |
3 |
2022 |
UHC of California |
Other Specialist Providers |
Non-Contracted Providers |
1 |
3 |
2022 |
UHC of California |
Pharmacy |
Claims Payment Dispute |
1 |
3 |
2022 |
UHC of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
3 |
2022 |
UnitedHealthcare Benefits Plan of California |
Ambulance |
Non-Contracted Providers |
3 |
3 |
2022 |
UnitedHealthcare Benefits Plan of California |
Home Health Services |
Claims Payment Dispute |
4 |
3 |
2022 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
2 |
3 |
2022 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
3 |
2022 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2022 |
UnitedHealthcare Benefits Plan of California |
Mental Health |
Claims Payment Dispute |
2 |
3 |
2022 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
5 |
3 |
2022 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Unknown |
1 |
3 |
2022 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
19 |
3 |
2022 |
UnitedHealthcare Community Plan of California, Inc. |
OB/GYN |
Claims Payment Dispute |
6 |
3 |
2022 |
Universal Care, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
3 |
2022 |
WellCare of California, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2022 |
WellCare of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
3 |
3 |
2022 |
Western Health Advantage |
Family/General Practice |
Claims Payment Dispute |
1 |
3 |
2022 |
Western Health Advantage |
Pediatrics |
Claims Payment Dispute |
1 |
4 |
2022 |
Aetna Better Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
4 |
2022 |
Aetna Better Health of California Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
4 |
2022 |
Aetna Better Health of California Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
4 |
4 |
2022 |
Aetna Health of California Inc. |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2022 |
Aetna Health of California Inc. |
Durable Medical Equipment |
Unknown |
1 |
4 |
2022 |
Aetna Health of California Inc. |
ER Physician |
Claims Payment Dispute |
1 |
4 |
2022 |
Aetna Health of California Inc. |
ER Physician |
Dispute Resolution Problems |
1 |
4 |
2022 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
26 |
4 |
2022 |
Aetna Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
4 |
2022 |
Aetna Health of California Inc. |
Hospital/Institutional |
Non-Contracted Providers |
3 |
4 |
2022 |
Aetna Health of California Inc. |
Laboratory Services |
Claims Payment Dispute |
9 |
4 |
2022 |
Aetna Health of California Inc. |
Mental Health |
Claims Payment Dispute |
8 |
4 |
2022 |
Aetna Health of California Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
4 |
2022 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
11 |
4 |
2022 |
Aetna Health of California Inc. |
Other Specialist Providers |
Unknown |
1 |
4 |
2022 |
Aetna Health of California Inc. |
Pharmacy |
Claims Payment Dispute |
1 |
4 |
2022 |
Aetna Health of California Inc. |
Skilled Nursing Facility |
Non-Contracted Providers |
1 |
4 |
2022 |
Alameda Alliance For Health |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
4 |
2022 |
Alameda Alliance For Health |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2022 |
Alameda Alliance For Health |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2022 |
AltaMed Health Network, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2022 |
Blue Cross of California |
Ambulance |
Non-Contracted Providers |
2 |
4 |
2022 |
Blue Cross of California |
Chiropractic |
Claims Payment Dispute |
2 |
4 |
2022 |
Blue Cross of California |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
4 |
2022 |
Blue Cross of California |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
4 |
2022 |
Blue Cross of California |
Family/General Practice |
Claims Payment Dispute |
1 |
4 |
2022 |
Blue Cross of California |
Family/General Practice |
Dispute Resolution Problems |
15 |
4 |
2022 |
Blue Cross of California |
Home Health Services |
Dispute Resolution Problems |
19 |
4 |
2022 |
Blue Cross of California |
Hospital-Based Physician |
Dispute Resolution Problems |
2 |
4 |
2022 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
32 |
4 |
2022 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
4 |
2022 |
Blue Cross of California |
Hospital/Institutional |
Non-Contracted Providers |
17 |
4 |
2022 |
Blue Cross of California |
Hospital/Institutional |
Other |
1 |
4 |
2022 |
Blue Cross of California |
Internal Medicine |
Claims Payment Dispute |
17 |
4 |
2022 |
Blue Cross of California |
Internal Medicine |
Dispute Resolution Problems |
57 |
4 |
2022 |
Blue Cross of California |
Laboratory Services |
Claims Payment Dispute |
2 |
4 |
2022 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
25 |
4 |
2022 |
Blue Cross of California |
Mental Health |
Non-Contracted Providers |
3 |
4 |
2022 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
2 |
4 |
2022 |
Blue Cross of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
5 |
4 |
2022 |
Blue Cross of California |
Other Ancillary Service Providers |
Non-Contracted Providers |
1 |
4 |
2022 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
24 |
4 |
2022 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
4 |
2022 |
Blue Cross of California |
Other Specialist Providers |
Non-Contracted Providers |
1 |
4 |
2022 |
Blue Cross of California |
Other Specialist Providers |
Overpayment/Refund Request |
1 |
4 |
2022 |
Blue Cross of California |
Pharmacy |
Claims Payment Dispute |
13 |
4 |
2022 |
Blue Cross of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
2 |
4 |
2022 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
8 |
4 |
2022 |
Blue Cross of California |
Skilled Nursing Facility |
Contractual Issues |
17 |
4 |
2022 |
Blue Cross of California |
Vision |
Dispute Resolution Problems |
2 |
4 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
4 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
27 |
4 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
5 |
4 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Laboratory Services |
Claims Payment Dispute |
1 |
4 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
5 |
4 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
4 |
2022 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
4 |
2022 |
Blue Shield of California Promise Health Plan |
Ambulance |
Overpayment/Refund Request |
1 |
4 |
2022 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
4 |
2022 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
31 |
4 |
2022 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
9 |
4 |
2022 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Other |
1 |
4 |
2022 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
5 |
4 |
2022 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
20 |
4 |
2022 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
4 |
2022 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
4 |
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 |
4 |
2022 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
1 |
4 |
2022 |
Delta Dental of California |
Dental |
Dispute Resolution Problems |
1 |
4 |
2022 |
Delta Dental of California |
Pediatrics |
Claims Payment Dispute |
1 |
4 |
2022 |
EPIC Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
4 |
2022 |
Essence Healthcare of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2022 |
Fresno-Kings-Madera Regional Health Authority |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
4 |
2022 |
Health and Human Resource Center, Inc. |
ER Physician |
Claims Payment Dispute |
1 |
4 |
2022 |
Health Net Community Solutions, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2022 |
Health Net Community Solutions, Inc. |
Ambulance |
Dispute Resolution Problems |
1 |
4 |
2022 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
4 |
2022 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
2 |
4 |
2022 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
21 |
4 |
2022 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
13 |
4 |
2022 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2022 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
4 |
2022 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
5 |
4 |
2022 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
4 |
2022 |
Health Net Community Solutions, Inc. |
Pharmacy |
Claims Payment Dispute |
5 |
4 |
2022 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
10 |
4 |
2022 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
4 |
2022 |
Health Net of California, Inc. |
Ambulance |
Claims Payment Dispute |
2 |
4 |
2022 |
Health Net of California, Inc. |
Ambulance |
Non-Contracted Providers |
1 |
4 |
2022 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
4 |
2022 |
Health Net of California, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
4 |
2022 |
Health Net of California, Inc. |
Home Health Services |
Claims Payment Dispute |
5 |
4 |
2022 |
Health Net of California, Inc. |
Home Health Services |
Dispute Resolution Problems |
9 |
4 |
2022 |
Health Net of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
4 |
2022 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
8 |
4 |
2022 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
4 |
2022 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
6 |
4 |
2022 |
Health Net of California, Inc. |
Internal Medicine |
Dispute Resolution Problems |
1 |
4 |
2022 |
Health Net of California, Inc. |
Laboratory Services |
Claims Payment Dispute |
4 |
4 |
2022 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
16 |
4 |
2022 |
Health Net of California, Inc. |
Other Specialist Providers |
Contractual Issues |
1 |
4 |
2022 |
Health Net of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
4 |
2022 |
Health Net of California, Inc. |
Other Specialist Providers |
Overpayment/Refund Request |
1 |
4 |
2022 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2022 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
4 |
2022 |
Humana Health Plan of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2022 |
Imperial Health Plan of California, Inc. |
Skilled Nursing Facility |
Contractual Issues |
6 |
4 |
2022 |
Inland Empire Health Plan |
Durable Medical Equipment |
Non-Contracted Providers |
2 |
4 |
2022 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
4 |
4 |
2022 |
Inland Empire Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2022 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
5 |
4 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Anesthesiology |
Claims Payment Dispute |
2 |
4 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
23 |
4 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
4 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
3 |
4 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
3 |
4 |
2022 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2022 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Claims Payment Dispute |
8 |
4 |
2022 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
4 |
2022 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
3 |
4 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Dispute Resolution Problems |
12 |
4 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Non-Contracted Providers |
1 |
4 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
71 |
4 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
57 |
4 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Non-Contracted Providers |
10 |
4 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Other |
5 |
4 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Laboratory Services |
Claims Payment Dispute |
6 |
4 |
2022 |
Local Initiative Health Authority for Los Angeles County |
OB/GYN |
Claims Payment Dispute |
3 |
4 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
4 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
2 |
4 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2022 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Dispute Resolution Problems |
8 |
4 |
2022 |
Managed Health Network |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2022 |
Molina Healthcare of California |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2022 |
Molina Healthcare of California |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
4 |
2022 |
Molina Healthcare of California |
Family/General Practice |
Claims Payment Dispute |
1 |
4 |
2022 |
Molina Healthcare of California |
Home Health Services |
Claims Payment Dispute |
2 |
4 |
2022 |
Molina Healthcare of California |
Home Health Services |
Dispute Resolution Problems |
1 |
4 |
2022 |
Molina Healthcare of California |
Hospital-Based Physician |
Unknown |
1 |
4 |
2022 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
53 |
4 |
2022 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
7 |
4 |
2022 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
8 |
4 |
2022 |
Molina Healthcare of California |
Hospital/Institutional |
Other |
1 |
4 |
2022 |
Molina Healthcare of California |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
4 |
2022 |
Molina Healthcare of California |
Mental Health |
Claims Payment Dispute |
4 |
4 |
2022 |
Molina Healthcare of California |
OB/GYN |
Dispute Resolution Problems |
1 |
4 |
2022 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
3 |
4 |
2022 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
5 |
4 |
2022 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
10 |
4 |
2022 |
Molina Healthcare of California |
Other Specialist Providers |
Non-Contracted Providers |
1 |
4 |
2022 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
12 |
4 |
2022 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
4 |
2022 |
Optum Health Plan of California |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2022 |
Optum Health Plan of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
4 |
2022 |
Orange County Health Authority |
Pharmacy |
Claims Payment Dispute |
2 |
4 |
2022 |
Oscar Health Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
4 |
2022 |
Oscar Health Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
2 |
4 |
2022 |
Oscar Health Plan of California |
Mental Health |
Claims Payment Dispute |
2 |
4 |
2022 |
Oscar Health Plan of California |
Pediatrics |
Claims Payment Dispute |
1 |
4 |
2022 |
Palo Alto Medical Foundation |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
4 |
2022 |
Qual-Med California |
Pharmacy |
Dispute Resolution Problems |
20 |
4 |
2022 |
San Francisco Health Authority |
Hospital/Institutional |
Unknown |
1 |
4 |
2022 |
San Joaquin County Health Commission |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
4 |
2022 |
San Joaquin County Health Commission |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
4 |
2022 |
Santa Clara County Health Authority |
Laboratory Services |
Claims Payment Dispute |
1 |
4 |
2022 |
Santa Clara County Health Authority |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
4 |
2022 |
UHC of California |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2022 |
UHC of California |
Family/General Practice |
Claims Payment Dispute |
1 |
4 |
2022 |
UHC of California |
Home Health Services |
Dispute Resolution Problems |
2 |
4 |
2022 |
UHC of California |
Hospital-Based Physician |
Dispute Resolution Problems |
2 |
4 |
2022 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
6 |
4 |
2022 |
UHC of California |
Hospital/Institutional |
Non-Contracted Providers |
3 |
4 |
2022 |
UHC of California |
Laboratory Services |
Claims Payment Dispute |
1 |
4 |
2022 |
UHC of California |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2022 |
UHC of California |
Mental Health |
Dispute Resolution Problems |
25 |
4 |
2022 |
UHC of California |
Mental Health |
Non-Contracted Providers |
1 |
4 |
2022 |
UHC of California |
Mental Health |
Overpayment/Refund Request |
25 |
4 |
2022 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
4 |
4 |
2022 |
UHC of California |
Other Specialist Providers |
Dispute Resolution Problems |
4 |
4 |
2022 |
UHC of California |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
4 |
2022 |
UnitedHealthcare Benefits Plan of California |
Ambulance |
Non-Contracted Providers |
1 |
4 |
2022 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
2 |
4 |
2022 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2022 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2022 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
4 |
2022 |
UnitedHealthcare Benefits Plan of California |
Mental Health |
Claims Payment Dispute |
3 |
4 |
2022 |
UnitedHealthcare Benefits Plan of California |
Mental Health |
Dispute Resolution Problems |
2 |
4 |
2022 |
UnitedHealthcare Benefits Plan of California |
Mental Health |
Non-Contracted Providers |
1 |
4 |
2022 |
UnitedHealthcare Benefits Plan of California |
Mental Health |
Overpayment/Refund Request |
34 |
4 |
2022 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
3 |
4 |
2022 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Dispute Resolution Problems |
5 |
4 |
2022 |
UnitedHealthcare Benefits Plan of California |
Pharmacy |
Claims Payment Dispute |
5 |
4 |
2022 |
UnitedHealthcare Benefits Plan of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
1 |
4 |
2022 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
21 |
4 |
2022 |
Universal Care, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2023 |
Aetna Better Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
3 |
1 |
2023 |
Aetna Better Health of California Inc. |
Pediatrics |
Claims Payment Dispute |
2 |
1 |
2023 |
Aetna Better Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
11 |
1 |
2023 |
Aetna Health of California Inc. |
Durable Medical Equipment |
Overpayment/Refund Request |
5 |
1 |
2023 |
Aetna Health of California Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
44 |
1 |
2023 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
1 |
2023 |
Aetna Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
1 |
2023 |
Aetna Health of California Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2023 |
Aetna Health of California Inc. |
Hospital/Institutional |
Unknown |
2 |
1 |
2023 |
Aetna Health of California Inc. |
Laboratory Services |
Claims Payment Dispute |
7 |
1 |
2023 |
Aetna Health of California Inc. |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2023 |
Aetna Health of California Inc. |
Mental Health |
Dispute Resolution Problems |
1 |
1 |
2023 |
Aetna Health of California Inc. |
Mental Health |
Non-Contracted Providers |
1 |
1 |
2023 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
8 |
1 |
2023 |
Aetna Health of California Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2023 |
Aetna Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2023 |
Aetna Health of California Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
1 |
2023 |
Aetna Health of California Inc. |
Skilled Nursing Facility |
Overpayment/Refund Request |
1 |
1 |
2023 |
Alignment Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2023 |
Alignment Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
5 |
1 |
2023 |
Alignment Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2023 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
1 |
1 |
2023 |
Blue Cross of California |
Ambulance |
Non-Contracted Providers |
3 |
1 |
2023 |
Blue Cross of California |
Chiropractic |
Claims Payment Dispute |
1 |
1 |
2023 |
Blue Cross of California |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2023 |
Blue Cross of California |
Durable Medical Equipment |
Dispute Resolution Problems |
5 |
1 |
2023 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
4 |
1 |
2023 |
Blue Cross of California |
Hospital-Based Physician |
Unknown |
1 |
1 |
2023 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
18 |
1 |
2023 |
Blue Cross of California |
Hospital/Institutional |
Contractual Issues |
1 |
1 |
2023 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
27 |
1 |
2023 |
Blue Cross of California |
Hospital/Institutional |
Non-Contracted Providers |
9 |
1 |
2023 |
Blue Cross of California |
Hospital/Institutional |
Other |
3 |
1 |
2023 |
Blue Cross of California |
Hospital/Institutional |
Unknown |
2 |
1 |
2023 |
Blue Cross of California |
Internal Medicine |
Claims Payment Dispute |
455 |
1 |
2023 |
Blue Cross of California |
Internal Medicine |
Dispute Resolution Problems |
15 |
1 |
2023 |
Blue Cross of California |
Laboratory Services |
Claims Payment Dispute |
4 |
1 |
2023 |
Blue Cross of California |
Laboratory Services |
Dispute Resolution Problems |
2 |
1 |
2023 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
102 |
1 |
2023 |
Blue Cross of California |
Mental Health |
Dispute Resolution Problems |
1 |
1 |
2023 |
Blue Cross of California |
Mental Health |
Non-Contracted Providers |
38 |
1 |
2023 |
Blue Cross of California |
Mental Health |
Overpayment/Refund Request |
2 |
1 |
2023 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
16 |
1 |
2023 |
Blue Cross of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
5 |
1 |
2023 |
Blue Cross of California |
Other Ancillary Service Providers |
Contractual Issues |
2 |
1 |
2023 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
35 |
1 |
2023 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
5 |
1 |
2023 |
Blue Cross of California |
Other Specialist Providers |
Non-Contracted Providers |
1 |
1 |
2023 |
Blue Cross of California |
Other Specialist Providers |
Other |
1 |
1 |
2023 |
Blue Cross of California |
Pharmacy |
Claims Payment Dispute |
7 |
1 |
2023 |
Blue Cross of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
24 |
1 |
2023 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
1 |
2023 |
Blue Cross of California |
Skilled Nursing Facility |
Contractual Issues |
3 |
1 |
2023 |
Blue Cross of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
8 |
1 |
2023 |
Blue Cross of California |
Skilled Nursing Facility |
Other |
1 |
1 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Ambulance |
Claims Payment Dispute |
2 |
1 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
28 |
1 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
14 |
1 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
OB/GYN |
Claims Payment Dispute |
15 |
1 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
34 |
1 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Non-Contracted Providers |
1 |
1 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Other |
4 |
1 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
1 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
1 |
2023 |
Blue Shield of California Promise Health Plan |
Ambulance |
Claims Payment Dispute |
1 |
1 |
2023 |
Blue Shield of California Promise Health Plan |
Ambulance |
Overpayment/Refund Request |
1 |
1 |
2023 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
11 |
1 |
2023 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
19 |
1 |
2023 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2023 |
Blue Shield of California Promise Health Plan |
OB/GYN |
Claims Payment Dispute |
21 |
1 |
2023 |
Blue Shield of California Promise Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
11 |
1 |
2023 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
562 |
1 |
2023 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
22 |
1 |
2023 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
1 |
2023 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Overpayment/Refund Request |
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 |
1 |
2023 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
2 |
1 |
2023 |
Delta Dental of California |
Dental |
Dispute Resolution Problems |
1 |
1 |
2023 |
Fresno-Kings-Madera Regional Health Authority |
Other Specialist Providers |
Claims Payment Dispute |
3 |
1 |
2023 |
Golden Bay Health, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2023 |
Health Net Community Solutions, Inc. |
Ambulance |
Claims Payment Dispute |
2 |
1 |
2023 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
7 |
1 |
2023 |
Health Net Community Solutions, Inc. |
Home Health Services |
Claims Payment Dispute |
1 |
1 |
2023 |
Health Net Community Solutions, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
1 |
2023 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
51 |
1 |
2023 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
15 |
1 |
2023 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
4 |
1 |
2023 |
Health Net Community Solutions, Inc. |
OB/GYN |
Claims Payment Dispute |
24 |
1 |
2023 |
Health Net Community Solutions, Inc. |
OB/GYN |
Dispute Resolution Problems |
1 |
1 |
2023 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
8 |
1 |
2023 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Dispute Resolution Problems |
2 |
1 |
2023 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
1 |
2023 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
4 |
1 |
2023 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Overpayment/Refund Request |
1 |
1 |
2023 |
Health Net Community Solutions, Inc. |
Pharmacy |
Claims Payment Dispute |
7 |
1 |
2023 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
18 |
1 |
2023 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
5 |
1 |
2023 |
Health Net of California, Inc. |
Ambulance |
Dispute Resolution Problems |
1 |
1 |
2023 |
Health Net of California, Inc. |
Ambulance |
Non-Contracted Providers |
6 |
1 |
2023 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2023 |
Health Net of California, Inc. |
ER Physician |
Claims Payment Dispute |
1 |
1 |
2023 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2023 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
1 |
2023 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
3 |
1 |
2023 |
Health Net of California, Inc. |
Hospital/Institutional |
Other |
2 |
1 |
2023 |
Health Net of California, Inc. |
Hospital/Institutional |
Unknown |
1 |
1 |
2023 |
Health Net of California, Inc. |
Laboratory Services |
Claims Payment Dispute |
3 |
1 |
2023 |
Health Net of California, Inc. |
OB/GYN |
Claims Payment Dispute |
25 |
1 |
2023 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
1 |
2023 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Dispute Resolution Problems |
17 |
1 |
2023 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
24 |
1 |
2023 |
Health Net of California, Inc. |
Pediatrics |
Claims Payment Dispute |
3 |
1 |
2023 |
Health Net of California, Inc. |
Pharmacy |
Claims Payment Dispute |
6 |
1 |
2023 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
10 |
1 |
2023 |
Heritage Provider Network, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2023 |
Humana Health Plan of California, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
1 |
2023 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
3 |
1 |
2023 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2023 |
Humana Health Plan of California, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2023 |
Humana Health Plan of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2023 |
Imperial Health Plan of California, Inc. |
Skilled Nursing Facility |
Contractual Issues |
1 |
1 |
2023 |
Inland Empire Health Plan |
Ambulance |
Non-Contracted Providers |
3 |
1 |
2023 |
Inland Empire Health Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
3 |
1 |
2023 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
2 |
1 |
2023 |
Inland Empire Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
4 |
1 |
2023 |
Inland Empire Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2023 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
5 |
1 |
2023 |
Kaiser Foundation Health Plan, Inc. |
ER Physician |
Claims Payment Dispute |
1 |
1 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
28 |
1 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
26 |
1 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
1 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Dispute Resolution Problems |
4 |
1 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
1 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
20 |
1 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Pediatrics |
Claims Payment Dispute |
1 |
1 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
8 |
1 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
5 |
1 |
2023 |
L.A. Care Health Plan Joint Powers Authority |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
1 |
2023 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Claims Payment Dispute |
2 |
1 |
2023 |
L.A. Care Health Plan Joint Powers Authority |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
26 |
1 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Dispute Resolution Problems |
2 |
1 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Unknown |
1 |
1 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Dispute Resolution Problems |
18 |
1 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Home Health Services |
Claims Payment Dispute |
1 |
1 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Home Health Services |
Dispute Resolution Problems |
1 |
1 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
101 |
1 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
30 |
1 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Non-Contracted Providers |
4 |
1 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Unknown |
2 |
1 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Mental Health |
Dispute Resolution Problems |
5 |
1 |
2023 |
Local Initiative Health Authority for Los Angeles County |
OB/GYN |
Claims Payment Dispute |
79 |
1 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Claims Payment Dispute |
9 |
1 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
3 |
1 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Overpayment/Refund Request |
13 |
1 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
5 |
1 |
2023 |
Managed Health Network |
Ambulance |
Non-Contracted Providers |
2 |
1 |
2023 |
Managed Health Network |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2023 |
Managed Health Network |
Mental Health |
Other |
1 |
1 |
2023 |
Managed Health Network |
OB/GYN |
Unknown |
27 |
1 |
2023 |
Molina Healthcare of California |
Family/General Practice |
Claims Payment Dispute |
1 |
1 |
2023 |
Molina Healthcare of California |
Hospital-Based Physician |
Non-Contracted Providers |
1 |
1 |
2023 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
51 |
1 |
2023 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
7 |
1 |
2023 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2023 |
Molina Healthcare of California |
Hospital/Institutional |
Other |
1 |
1 |
2023 |
Molina Healthcare of California |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
1 |
2023 |
Molina Healthcare of California |
Hospital/Institutional |
Unknown |
1 |
1 |
2023 |
Molina Healthcare of California |
Mental Health |
Claims Payment Dispute |
3 |
1 |
2023 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
7 |
1 |
2023 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
37 |
1 |
2023 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
4 |
1 |
2023 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
28 |
1 |
2023 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
1 |
2023 |
Molina Healthcare of California |
Skilled Nursing Facility |
Overpayment/Refund Request |
1 |
1 |
2023 |
Monarch Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
4 |
1 |
2023 |
Optum Health Plan of California |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2023 |
Orange County Health Authority |
Durable Medical Equipment |
Non-Contracted Providers |
5 |
1 |
2023 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
2 |
1 |
2023 |
Orange County Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2023 |
Oscar Health Plan of California |
Family/General Practice |
Claims Payment Dispute |
3 |
1 |
2023 |
Oscar Health Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
2 |
1 |
2023 |
Oscar Health Plan of California |
Hospital/Institutional |
Other |
1 |
1 |
2023 |
Oscar Health Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
2 |
1 |
2023 |
San Joaquin County Health Commission |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
1 |
2023 |
San Joaquin County Health Commission |
Other Specialist Providers |
Claims Payment Dispute |
4 |
1 |
2023 |
Santa Barbara San Luis Obispo Regional Health Authority |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
1 |
2023 |
Santa Clara County |
OB/GYN |
Claims Payment Dispute |
1 |
1 |
2023 |
Scan Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2023 |
Scan Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2023 |
Sharp Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2023 |
Sutter Health Alliance |
Ambulance |
Non-Contracted Providers |
2 |
1 |
2023 |
Sutter Health Alliance |
Mental Health |
Dispute Resolution Problems |
1 |
1 |
2023 |
U.S. Behavioral Health Plan, California |
Mental Health |
Contractual Issues |
2 |
1 |
2023 |
U.S. Behavioral Health Plan, California |
Other Specialist Providers |
Overpayment/Refund Request |
2 |
1 |
2023 |
UHC of California |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2023 |
UHC of California |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2023 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
4 |
1 |
2023 |
UHC of California |
Hospital/Institutional |
Non-Contracted Providers |
3 |
1 |
2023 |
UHC of California |
Hospital/Institutional |
Unknown |
1 |
1 |
2023 |
UHC of California |
Laboratory Services |
Claims Payment Dispute |
1 |
1 |
2023 |
UHC of California |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2023 |
UHC of California |
Mental Health |
Dispute Resolution Problems |
5 |
1 |
2023 |
UHC of California |
On Call Physicians (Not ER) |
Non-Contracted Providers |
1 |
1 |
2023 |
UHC of California |
Pharmacy |
Claims Payment Dispute |
10 |
1 |
2023 |
UHC of California |
Skilled Nursing Facility |
Non-Contracted Providers |
1 |
1 |
2023 |
UnitedHealthcare Benefits Plan of California |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2023 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
5 |
1 |
2023 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2023 |
UnitedHealthcare Benefits Plan of California |
Mental Health |
Claims Payment Dispute |
2 |
1 |
2023 |
UnitedHealthcare Benefits Plan of California |
OB/GYN |
Claims Payment Dispute |
1 |
1 |
2023 |
UnitedHealthcare Benefits Plan of California |
On Call Physicians (Not ER) |
Dispute Resolution Problems |
1 |
1 |
2023 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2023 |
UnitedHealthcare Community Plan of California, Inc. |
Home Health Services |
Claims Payment Dispute |
1 |
1 |
2023 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
15 |
1 |
2023 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
1 |
2023 |
UnitedHealthcare Community Plan of California, Inc. |
Pharmacy |
Claims Payment Dispute |
2 |
1 |
2023 |
UnitedHealthcare Community Plan of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2023 |
Universal Care, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
6 |
1 |
2023 |
Universal Care, Inc. |
Other Specialist Providers |
Other |
1 |
1 |
2023 |
WellCare of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
2 |
2023 |
Aetna Better Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
2 |
2023 |
Aetna Better Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
2 |
2023 |
Aetna Better Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
2 |
2023 |
Aetna Health of California Inc. |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2023 |
Aetna Health of California Inc. |
ER Physician |
Unknown |
2 |
2 |
2023 |
Aetna Health of California Inc. |
Home Health Services |
Claims Payment Dispute |
23 |
2 |
2023 |
Aetna Health of California Inc. |
Home Health Services |
Dispute Resolution Problems |
30 |
2 |
2023 |
Aetna Health of California Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
17 |
2 |
2023 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
13 |
2 |
2023 |
Aetna Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2023 |
Aetna Health of California Inc. |
Hospital/Institutional |
Non-Contracted Providers |
9 |
2 |
2023 |
Aetna Health of California Inc. |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
2 |
2023 |
Aetna Health of California Inc. |
Laboratory Services |
Claims Payment Dispute |
3 |
2 |
2023 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
2 |
2023 |
Aetna Health of California Inc. |
Pharmacy |
Claims Payment Dispute |
2 |
2 |
2023 |
Alameda Alliance For Health |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2023 |
Alameda Alliance For Health |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2023 |
AltaMed Health Network, Inc. |
Pediatrics |
Dispute Resolution Problems |
1 |
2 |
2023 |
Benefits Unlimited, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2023 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
2 |
2 |
2023 |
Blue Cross of California |
Ambulance |
Non-Contracted Providers |
4 |
2 |
2023 |
Blue Cross of California |
Anesthesiology |
Claims Payment Dispute |
1 |
2 |
2023 |
Blue Cross of California |
Dental |
Claims Payment Dispute |
3 |
2 |
2023 |
Blue Cross of California |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
2 |
2023 |
Blue Cross of California |
ER Physician |
Unknown |
3 |
2 |
2023 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2023 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
38 |
2 |
2023 |
Blue Cross of California |
Hospital/Institutional |
Contractual Issues |
1 |
2 |
2023 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
14 |
2 |
2023 |
Blue Cross of California |
Hospital/Institutional |
Non-Contracted Providers |
19 |
2 |
2023 |
Blue Cross of California |
Hospital/Institutional |
Other |
4 |
2 |
2023 |
Blue Cross of California |
Internal Medicine |
Claims Payment Dispute |
412 |
2 |
2023 |
Blue Cross of California |
Laboratory Services |
Claims Payment Dispute |
10 |
2 |
2023 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
29 |
2 |
2023 |
Blue Cross of California |
Mental Health |
Non-Contracted Providers |
16 |
2 |
2023 |
Blue Cross of California |
Mental Health |
Overpayment/Refund Request |
9 |
2 |
2023 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
1 |
2 |
2023 |
Blue Cross of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
4 |
2 |
2023 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
18 |
2 |
2023 |
Blue Cross of California |
Pediatrics |
Dispute Resolution Problems |
3 |
2 |
2023 |
Blue Cross of California |
Pharmacy |
Claims Payment Dispute |
1 |
2 |
2023 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
12 |
2 |
2023 |
Blue Cross of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
2 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Home Health Services |
Claims Payment Dispute |
5 |
2 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
24 |
2 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Contractual Issues |
1 |
2 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
2 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Other |
5 |
2 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
2 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Mental Health |
Claims Payment Dispute |
17 |
2 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
OB/GYN |
Claims Payment Dispute |
11 |
2 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
75 |
2 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
3 |
2 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Pharmacy |
Claims Payment Dispute |
3 |
2 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
2 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
2 |
2023 |
Blue Shield of California Promise Health Plan |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2023 |
Blue Shield of California Promise Health Plan |
Home Health Services |
Claims Payment Dispute |
1 |
2 |
2023 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Unknown |
1 |
2 |
2023 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
18 |
2 |
2023 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
17 |
2 |
2023 |
Blue Shield of California Promise Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
5 |
2 |
2023 |
Blue Shield of California Promise Health Plan |
Other Ancillary Service Providers |
Dispute Resolution Problems |
4 |
2 |
2023 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
3 |
2 |
2023 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
3 |
2 |
2023 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
6 |
2 |
2023 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
9 |
2 |
2023 |
Brown & Toland Health Services, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
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 |
2 |
2023 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
2 |
2 |
2023 |
Delta Dental of California |
Dental |
Overpayment/Refund Request |
1 |
2 |
2023 |
Dignity Health Provider Resources, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2023 |
Evernorth Behavioral Health of California, Inc. |
Mental Health |
Claims Payment Dispute |
2 |
2 |
2023 |
Fresno-Kings-Madera Regional Health Authority |
Home Health Services |
Claims Payment Dispute |
1 |
2 |
2023 |
Fresno-Kings-Madera Regional Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2023 |
Health Net Community Solutions, Inc. |
Ambulance |
Claims Payment Dispute |
4 |
2 |
2023 |
Health Net Community Solutions, Inc. |
Ambulance |
Non-Contracted Providers |
5 |
2 |
2023 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
2 |
2023 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
3 |
2 |
2023 |
Health Net Community Solutions, Inc. |
Home Health Services |
Claims Payment Dispute |
1 |
2 |
2023 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
66 |
2 |
2023 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
9 |
2 |
2023 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2023 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Other |
2 |
2 |
2023 |
Health Net Community Solutions, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
2 |
2023 |
Health Net Community Solutions, Inc. |
OB/GYN |
Claims Payment Dispute |
40 |
2 |
2023 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
5 |
2 |
2023 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
2 |
2023 |
Health Net Community Solutions, Inc. |
Pharmacy |
Claims Payment Dispute |
4 |
2 |
2023 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
2 |
2023 |
Health Net of California, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2023 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
2 |
2023 |
Health Net of California, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
2 |
2023 |
Health Net of California, Inc. |
ER Physician |
Unknown |
1 |
2 |
2023 |
Health Net of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
4 |
2 |
2023 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
6 |
2 |
2023 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2023 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
7 |
2 |
2023 |
Health Net of California, Inc. |
Hospital/Institutional |
Other |
3 |
2 |
2023 |
Health Net of California, Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
2 |
2023 |
Health Net of California, Inc. |
Laboratory Services |
Claims Payment Dispute |
2 |
2 |
2023 |
Health Net of California, Inc. |
OB/GYN |
Claims Payment Dispute |
25 |
2 |
2023 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Dispute Resolution Problems |
2 |
2 |
2023 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
4 |
2 |
2023 |
Health Net of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
3 |
2 |
2023 |
Health Net of California, Inc. |
Other Specialist Providers |
Non-Contracted Providers |
1 |
2 |
2023 |
Health Net of California, Inc. |
Pharmacy |
Claims Payment Dispute |
5 |
2 |
2023 |
Health Net of California, Inc. |
Pharmacy |
Dispute Resolution Problems |
10 |
2 |
2023 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
2 |
2023 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Other |
1 |
2 |
2023 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
2 |
2023 |
Inland Empire Health Plan |
Home Health Services |
Dispute Resolution Problems |
4 |
2 |
2023 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
8 |
2 |
2023 |
Inland Empire Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
3 |
2 |
2023 |
Inland Empire Health Plan |
Hospital/Institutional |
Other |
1 |
2 |
2023 |
Inland Empire Health Plan |
OB/GYN |
Claims Payment Dispute |
3 |
2 |
2023 |
Inland Empire Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2023 |
Inland Empire Health Plan |
Pharmacy |
Claims Payment Dispute |
1 |
2 |
2023 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
2 |
2023 |
Kaiser Foundation Health Plan, Inc. |
ER Physician |
Claims Payment Dispute |
3 |
2 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
73 |
2 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
8 |
2 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
2 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
2 |
2 |
2023 |
Kaiser Foundation Health Plan, Inc. |
OB/GYN |
Claims Payment Dispute |
6 |
2 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
5 |
2 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
7 |
2 |
2023 |
Kern Health Systems |
Ambulance |
Other |
20 |
2 |
2023 |
L.A. Care Health Plan Joint Powers Authority |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2023 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
14 |
2 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Dispute Resolution Problems |
15 |
2 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Non-Contracted Providers |
10 |
2 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Claims Payment Dispute |
3 |
2 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Home Health Services |
Claims Payment Dispute |
3 |
2 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
153 |
2 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
18 |
2 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Non-Contracted Providers |
3 |
2 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Other |
2 |
2 |
2023 |
Local Initiative Health Authority for Los Angeles County |
OB/GYN |
Claims Payment Dispute |
57 |
2 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Claims Payment Dispute |
4 |
2 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
4 |
2 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
2 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Pharmacy |
Claims Payment Dispute |
3 |
2 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
28 |
2 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Dispute Resolution Problems |
7 |
2 |
2023 |
Medi-Excel, S.A. de C.V. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2023 |
Medico Community Health Services Commission |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2023 |
Molina Healthcare of California |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2023 |
Molina Healthcare of California |
Anesthesiology |
Claims Payment Dispute |
2 |
2 |
2023 |
Molina Healthcare of California |
Anesthesiology |
Dispute Resolution Problems |
3 |
2 |
2023 |
Molina Healthcare of California |
Family/General Practice |
Claims Payment Dispute |
2 |
2 |
2023 |
Molina Healthcare of California |
Home Health Services |
Claims Payment Dispute |
2 |
2 |
2023 |
Molina Healthcare of California |
Home Health Services |
Dispute Resolution Problems |
10 |
2 |
2023 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
27 |
2 |
2023 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2023 |
Molina Healthcare of California |
Hospital/Institutional |
Other |
3 |
2 |
2023 |
Molina Healthcare of California |
Mental Health |
Claims Payment Dispute |
1 |
2 |
2023 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
2 |
2023 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
6 |
2 |
2023 |
Molina Healthcare of California |
Other Specialist Providers |
Contractual Issues |
2 |
2 |
2023 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
10 |
2 |
2023 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
12 |
2 |
2023 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
6 |
2 |
2023 |
Monarch Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
4 |
2 |
2023 |
Optum Health Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2023 |
Orange County Health Authority |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2023 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
2 |
2 |
2023 |
Orange County Health Authority |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2023 |
Orange County Health Authority |
Hospital/Institutional |
Non-Contracted Providers |
2 |
2 |
2023 |
Orange County Health Authority |
OB/GYN |
Claims Payment Dispute |
2 |
2 |
2023 |
Orange County Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2023 |
Oscar Health Plan of California |
Chiropractic |
Claims Payment Dispute |
8 |
2 |
2023 |
Oscar Health Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
3 |
2 |
2023 |
Oscar Health Plan of California |
Hospital/Institutional |
Unknown |
1 |
2 |
2023 |
Oscar Health Plan of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
3 |
2 |
2023 |
Oscar Health Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
2 |
2 |
2023 |
Oscar Health Plan of California |
Pediatrics |
Claims Payment Dispute |
2 |
2 |
2023 |
Partnership HealthPlan of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2023 |
Premier Health Plan Services, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
2 |
2023 |
Prospect Health Plan, Inc. |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
2 |
2023 |
Prospect Health Plan, Inc. |
Other Specialist Providers |
Non-Contracted Providers |
1 |
2 |
2023 |
San Francisco Health Authority |
Durable Medical Equipment |
Dispute Resolution Problems |
2 |
2 |
2023 |
San Joaquin County Health Commission |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2023 |
Santa Barbara San Luis Obispo Regional Health Authority |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
2 |
2023 |
Santa Clara County |
OB/GYN |
Claims Payment Dispute |
1 |
2 |
2023 |
Santa Clara County Health Authority |
Ambulance |
Non-Contracted Providers |
1 |
2 |
2023 |
Santa Clara County Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
2 |
2023 |
Santa Cruz-Monterey-Merced-San Benito-Mariposa Managed Medical Care Commission |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
2 |
2023 |
Scan Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2023 |
Scan Health Plan |
Pharmacy |
Claims Payment Dispute |
1 |
2 |
2023 |
UHC of California |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
2 |
2023 |
UHC of California |
ER Physician |
Unknown |
1 |
2 |
2023 |
UHC of California |
Home Health Services |
Dispute Resolution Problems |
8 |
2 |
2023 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
3 |
2 |
2023 |
UHC of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2023 |
UHC of California |
Hospital/Institutional |
Non-Contracted Providers |
3 |
2 |
2023 |
UHC of California |
Hospital/Institutional |
Unknown |
1 |
2 |
2023 |
UHC of California |
Laboratory Services |
Claims Payment Dispute |
1 |
2 |
2023 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
9 |
2 |
2023 |
UHC of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
1 |
2 |
2023 |
UHC of California |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
2 |
2023 |
UnitedHealthcare Benefits Plan of California |
Ambulance |
Non-Contracted Providers |
1 |
2 |
2023 |
UnitedHealthcare Benefits Plan of California |
Durable Medical Equipment |
Claims Payment Dispute |
3 |
2 |
2023 |
UnitedHealthcare Benefits Plan of California |
ER Physician |
Unknown |
2 |
2 |
2023 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
3 |
2 |
2023 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
5 |
2 |
2023 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
4 |
2 |
2023 |
UnitedHealthcare Benefits Plan of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
2 |
2 |
2023 |
UnitedHealthcare Benefits Plan of California |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2023 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
7 |
2 |
2023 |
UnitedHealthcare Community Plan of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
2 |
2023 |
Universal Care, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
2 |
2023 |
Universal Care, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2023 |
Universal Care, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2023 |
Vision Service Plan |
Vision |
Dispute Resolution Problems |
58 |
2 |
2023 |
WellCare of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2023 |
Western Health Advantage |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2023 |
Western Health Advantage |
Pediatrics |
Claims Payment Dispute |
1 |
3 |
2023 |
AccessMedical Provider Network, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
3 |
2023 |
Aetna Better Health of California Inc. |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2023 |
Aetna Better Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2023 |
Aetna Better Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
3 |
2023 |
Aetna Better Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
6 |
3 |
2023 |
Aetna Health of California Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
3 |
2023 |
Aetna Health of California Inc. |
ER Physician |
Non-Contracted Providers |
5 |
3 |
2023 |
Aetna Health of California Inc. |
ER Physician |
Unknown |
4 |
3 |
2023 |
Aetna Health of California Inc. |
Home Health Services |
Claims Payment Dispute |
3 |
3 |
2023 |
Aetna Health of California Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2023 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
20 |
3 |
2023 |
Aetna Health of California Inc. |
Hospital/Institutional |
Contractual Issues |
5 |
3 |
2023 |
Aetna Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
5 |
3 |
2023 |
Aetna Health of California Inc. |
Hospital/Institutional |
Non-Contracted Providers |
7 |
3 |
2023 |
Aetna Health of California Inc. |
Laboratory Services |
Claims Payment Dispute |
1 |
3 |
2023 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
3 |
2023 |
Aetna Health of California Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2023 |
Aetna Health of California Inc. |
Pharmacy |
Claims Payment Dispute |
2 |
3 |
2023 |
Alameda Alliance For Health |
Other Specialist Providers |
Claims Payment Dispute |
2 |
3 |
2023 |
Alignment Health Plan |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2023 |
Alignment Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2023 |
AmericasHealth Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
3 |
2023 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2023 |
Blue Cross of California |
Ambulance |
Dispute Resolution Problems |
3 |
3 |
2023 |
Blue Cross of California |
Ambulance |
Non-Contracted Providers |
20 |
3 |
2023 |
Blue Cross of California |
ER Physician |
Non-Contracted Providers |
4 |
3 |
2023 |
Blue Cross of California |
ER Physician |
Unknown |
6 |
3 |
2023 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2023 |
Blue Cross of California |
Hospital-Based Physician |
Unknown |
1 |
3 |
2023 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
68 |
3 |
2023 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
9 |
3 |
2023 |
Blue Cross of California |
Hospital/Institutional |
Non-Contracted Providers |
8 |
3 |
2023 |
Blue Cross of California |
Hospital/Institutional |
Other |
3 |
3 |
2023 |
Blue Cross of California |
Internal Medicine |
Claims Payment Dispute |
26 |
3 |
2023 |
Blue Cross of California |
Internal Medicine |
Other |
1 |
3 |
2023 |
Blue Cross of California |
Laboratory Services |
Claims Payment Dispute |
1 |
3 |
2023 |
Blue Cross of California |
Laboratory Services |
Dispute Resolution Problems |
6 |
3 |
2023 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
40 |
3 |
2023 |
Blue Cross of California |
Mental Health |
Dispute Resolution Problems |
1 |
3 |
2023 |
Blue Cross of California |
Mental Health |
Non-Contracted Providers |
2 |
3 |
2023 |
Blue Cross of California |
Mental Health |
Overpayment/Refund Request |
6 |
3 |
2023 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
2 |
3 |
2023 |
Blue Cross of California |
On Call Physicians (Not ER) |
Dispute Resolution Problems |
1 |
3 |
2023 |
Blue Cross of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
3 |
3 |
2023 |
Blue Cross of California |
Other Ancillary Service Providers |
Overpayment/Refund Request |
10 |
3 |
2023 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
19 |
3 |
2023 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
3 |
3 |
2023 |
Blue Cross of California |
Other Specialist Providers |
Non-Contracted Providers |
16 |
3 |
2023 |
Blue Cross of California |
Pharmacy |
Claims Payment Dispute |
1 |
3 |
2023 |
Blue Cross of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
3 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
43 |
3 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
8 |
3 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Other |
24 |
3 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Mental Health |
Claims Payment Dispute |
3 |
3 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
OB/GYN |
Claims Payment Dispute |
41 |
3 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
3 |
3 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
3 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Pharmacy |
Claims Payment Dispute |
1 |
3 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
3 |
2023 |
Blue Shield of California Promise Health Plan |
Ambulance |
Claims Payment Dispute |
2 |
3 |
2023 |
Blue Shield of California Promise Health Plan |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
3 |
2023 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
59 |
3 |
2023 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
11 |
3 |
2023 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
2 |
3 |
2023 |
Blue Shield of California Promise Health Plan |
Internal Medicine |
Claims Payment Dispute |
2 |
3 |
2023 |
Blue Shield of California Promise Health Plan |
OB/GYN |
Claims Payment Dispute |
25 |
3 |
2023 |
Blue Shield of California Promise Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
7 |
3 |
2023 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
5 |
3 |
2023 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Contractual Issues |
1 |
3 |
2023 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
3 |
2023 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
8 |
3 |
2023 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
25 |
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 |
3 |
2023 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
6 |
3 |
2023 |
Delta Dental of California |
Dental |
Dispute Resolution Problems |
1 |
3 |
2023 |
Delta Dental of California |
Dental |
Overpayment/Refund Request |
2 |
3 |
2023 |
Fresno-Kings-Madera Regional Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2023 |
Health Net Community Solutions, Inc. |
Ambulance |
Claims Payment Dispute |
4 |
3 |
2023 |
Health Net Community Solutions, Inc. |
Ambulance |
Non-Contracted Providers |
1 |
3 |
2023 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
3 |
2023 |
Health Net Community Solutions, Inc. |
Home Health Services |
Claims Payment Dispute |
4 |
3 |
2023 |
Health Net Community Solutions, Inc. |
Home Health Services |
Dispute Resolution Problems |
8 |
3 |
2023 |
Health Net Community Solutions, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
3 |
2023 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
181 |
3 |
2023 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Contractual Issues |
1 |
3 |
2023 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
35 |
3 |
2023 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
3 |
2023 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Other |
6 |
3 |
2023 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
9 |
3 |
2023 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
3 |
2023 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Other |
3 |
3 |
2023 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
6 |
3 |
2023 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2023 |
Health Net Community Solutions, Inc. |
Pharmacy |
Claims Payment Dispute |
16 |
3 |
2023 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
12 |
3 |
2023 |
Health Net of California, Inc. |
Anesthesiology |
Claims Payment Dispute |
1 |
3 |
2023 |
Health Net of California, Inc. |
Home Health Services |
Claims Payment Dispute |
2 |
3 |
2023 |
Health Net of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
3 |
2023 |
Health Net of California, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
2 |
3 |
2023 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
21 |
3 |
2023 |
Health Net of California, Inc. |
Hospital/Institutional |
Contractual Issues |
1 |
3 |
2023 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
7 |
3 |
2023 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
8 |
3 |
2023 |
Health Net of California, Inc. |
Hospital/Institutional |
Other |
3 |
3 |
2023 |
Health Net of California, Inc. |
Laboratory Services |
Claims Payment Dispute |
1 |
3 |
2023 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
3 |
2023 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
3 |
2023 |
Health Net of California, Inc. |
Other Specialist Providers |
Contractual Issues |
1 |
3 |
2023 |
Health Net of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2023 |
Health Net of California, Inc. |
Pharmacy |
Claims Payment Dispute |
2 |
3 |
2023 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Contractual Issues |
1 |
3 |
2023 |
Heritage Provider Network, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2023 |
Humana Health Plan of California, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2023 |
Humana Health Plan of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2023 |
Humana Health Plan of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2023 |
Inland Empire Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2023 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
4 |
3 |
2023 |
Inland Empire Health Plan |
Hospital/Institutional |
Contractual Issues |
2 |
3 |
2023 |
Inland Empire Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2023 |
Inland Empire Health Plan |
Other Specialist Providers |
Contractual Issues |
1 |
3 |
2023 |
Inland Empire Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
4 |
3 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
3 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
36 |
3 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
7 |
3 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
44 |
3 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Other |
11 |
3 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
5 |
3 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
4 |
3 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Non-Contracted Providers |
1 |
3 |
2023 |
Kern Health Systems |
Hospital/Institutional |
Claims Payment Dispute |
2 |
3 |
2023 |
Kern Health Systems |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
3 |
2023 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
3 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
7 |
3 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Home Health Services |
Dispute Resolution Problems |
4 |
3 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
194 |
3 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Contractual Issues |
1 |
3 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
41 |
3 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Non-Contracted Providers |
4 |
3 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Internal Medicine |
Claims Payment Dispute |
2 |
3 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Internal Medicine |
Non-Contracted Providers |
1 |
3 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
3 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
3 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Other |
2 |
3 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Dispute Resolution Problems |
8 |
3 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
3 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
3 |
2023 |
Managed Health Network |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2023 |
Managed Health Network |
Mental Health |
Dispute Resolution Problems |
8 |
3 |
2023 |
Molina Healthcare of California |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2023 |
Molina Healthcare of California |
Anesthesiology |
Dispute Resolution Problems |
1 |
3 |
2023 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
50 |
3 |
2023 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
15 |
3 |
2023 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
6 |
3 |
2023 |
Molina Healthcare of California |
Hospital/Institutional |
Other |
1 |
3 |
2023 |
Molina Healthcare of California |
Mental Health |
Claims Payment Dispute |
5 |
3 |
2023 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
4 |
3 |
2023 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
13 |
3 |
2023 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
7 |
3 |
2023 |
Molina Healthcare of California |
Skilled Nursing Facility |
Contractual Issues |
2 |
3 |
2023 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
3 |
2023 |
Monarch Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2023 |
Optum Health Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
2 |
3 |
2023 |
Optum Health Plan of California |
Pediatrics |
Dispute Resolution Problems |
1 |
3 |
2023 |
Orange County Health Authority |
Hospital-Based Physician |
Overpayment/Refund Request |
1 |
3 |
2023 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
2 |
3 |
2023 |
Orange County Health Authority |
Other Ancillary Service Providers |
Claims Payment Dispute |
4 |
3 |
2023 |
Orange County Health Authority |
Other Ancillary Service Providers |
Dispute Resolution Problems |
2 |
3 |
2023 |
Orange County Health Authority |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2023 |
Orange County Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2023 |
Oscar Health Plan of California |
Chiropractic |
Overpayment/Refund Request |
4 |
3 |
2023 |
Oscar Health Plan of California |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
3 |
2023 |
Oscar Health Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
2 |
3 |
2023 |
Oscar Health Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
3 |
2023 |
Partnership HealthPlan of California |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2023 |
Santa Cruz-Monterey-Merced-San Benito-Mariposa Managed Medical Care Commission |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2023 |
Scan Health Plan |
Pharmacy |
Claims Payment Dispute |
1 |
3 |
2023 |
U.S. Behavioral Health Plan, California |
Mental Health |
Overpayment/Refund Request |
2 |
3 |
2023 |
UHC of California |
Dental |
Claims Payment Dispute |
1 |
3 |
2023 |
UHC of California |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
3 |
2023 |
UHC of California |
ER Physician |
Non-Contracted Providers |
1 |
3 |
2023 |
UHC of California |
ER Physician |
Unknown |
1 |
3 |
2023 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
5 |
3 |
2023 |
UHC of California |
Hospital/Institutional |
Contractual Issues |
1 |
3 |
2023 |
UHC of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
3 |
2023 |
UHC of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2023 |
UHC of California |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
3 |
2023 |
UHC of California |
Pharmacy |
Claims Payment Dispute |
3 |
3 |
2023 |
UHC of California |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2023 |
UnitedHealthcare Benefits Plan of California |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
3 |
2023 |
UnitedHealthcare Benefits Plan of California |
ER Physician |
Non-Contracted Providers |
4 |
3 |
2023 |
UnitedHealthcare Benefits Plan of California |
Home Health Services |
Claims Payment Dispute |
11 |
3 |
2023 |
UnitedHealthcare Benefits Plan of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2023 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
4 |
3 |
2023 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Contractual Issues |
2 |
3 |
2023 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
3 |
2023 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2023 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
3 |
3 |
2023 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2023 |
UnitedHealthcare Benefits Plan of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
8 |
3 |
2023 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
10 |
3 |
2023 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
3 |
2023 |
Universal Care, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2023 |
Universal Care, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
3 |
2023 |
Universal Care, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2023 |
Universal Care, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2023 |
WellCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2023 |
WellCare of California, Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
3 |
2023 |
WellCare of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
4 |
2023 |
Aetna Better Health of California Inc. |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2023 |
Aetna Better Health of California Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
4 |
4 |
2023 |
Aetna Better Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2023 |
Aetna Better Health of California Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
4 |
2023 |
Aetna Better Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2023 |
Aetna Health of California Inc. |
Ambulance |
Claims Payment Dispute |
5 |
4 |
2023 |
Aetna Health of California Inc. |
Ambulance |
Non-Contracted Providers |
1 |
4 |
2023 |
Aetna Health of California Inc. |
ER Physician |
Non-Contracted Providers |
1 |
4 |
2023 |
Aetna Health of California Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
4 |
2023 |
Aetna Health of California Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
4 |
2023 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
35 |
4 |
2023 |
Aetna Health of California Inc. |
Hospital/Institutional |
Contractual Issues |
4 |
4 |
2023 |
Aetna Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
4 |
2023 |
Aetna Health of California Inc. |
Hospital/Institutional |
Non-Contracted Providers |
8 |
4 |
2023 |
Aetna Health of California Inc. |
Hospital/Institutional |
Other |
1 |
4 |
2023 |
Aetna Health of California Inc. |
OB/GYN |
Claims Payment Dispute |
2 |
4 |
2023 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
4 |
2023 |
Aetna Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2023 |
Aetna Health of California Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
4 |
2023 |
Alignment Health Plan |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
4 |
2023 |
Arta Medicare Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
4 |
2023 |
Astiva Health, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
4 |
2023 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
4 |
4 |
2023 |
Blue Cross of California |
Ambulance |
Dispute Resolution Problems |
2 |
4 |
2023 |
Blue Cross of California |
Ambulance |
Non-Contracted Providers |
28 |
4 |
2023 |
Blue Cross of California |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
4 |
2023 |
Blue Cross of California |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
4 |
2023 |
Blue Cross of California |
Durable Medical Equipment |
Non-Contracted Providers |
1 |
4 |
2023 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
6 |
4 |
2023 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
68 |
4 |
2023 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
5 |
4 |
2023 |
Blue Cross of California |
Hospital/Institutional |
Non-Contracted Providers |
11 |
4 |
2023 |
Blue Cross of California |
Hospital/Institutional |
Other |
3 |
4 |
2023 |
Blue Cross of California |
Internal Medicine |
Claims Payment Dispute |
2 |
4 |
2023 |
Blue Cross of California |
Laboratory Services |
Claims Payment Dispute |
5 |
4 |
2023 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
25 |
4 |
2023 |
Blue Cross of California |
Mental Health |
Non-Contracted Providers |
3 |
4 |
2023 |
Blue Cross of California |
Mental Health |
Overpayment/Refund Request |
1 |
4 |
2023 |
Blue Cross of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
7 |
4 |
2023 |
Blue Cross of California |
Other Ancillary Service Providers |
Contractual Issues |
1 |
4 |
2023 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
40 |
4 |
2023 |
Blue Cross of California |
Other Specialist Providers |
Contractual Issues |
3 |
4 |
2023 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
4 |
2023 |
Blue Cross of California |
Other Specialist Providers |
Other |
1 |
4 |
2023 |
Blue Cross of California |
Other Specialist Providers |
Overpayment/Refund Request |
8 |
4 |
2023 |
Blue Cross of California |
Pharmacy |
Claims Payment Dispute |
1 |
4 |
2023 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
4 |
2023 |
Blue Cross of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
4 |
2023 |
Blue Cross of California |
Vision |
Claims Payment Dispute |
3 |
4 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
4 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
19 |
4 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Other |
1 |
4 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
12 |
4 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2023 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
15 |
4 |
2023 |
Blue Shield of California Promise Health Plan |
Ambulance |
Claims Payment Dispute |
2 |
4 |
2023 |
Blue Shield of California Promise Health Plan |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
4 |
2023 |
Blue Shield of California Promise Health Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
4 |
2023 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
27 |
4 |
2023 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
14 |
4 |
2023 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2023 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Other |
2 |
4 |
2023 |
Blue Shield of California Promise Health Plan |
Internal Medicine |
Claims Payment Dispute |
2 |
4 |
2023 |
Blue Shield of California Promise Health Plan |
Mental Health |
Claims Payment Dispute |
2 |
4 |
2023 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
3 |
4 |
2023 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
8 |
4 |
2023 |
Blue Shield of California Promise Health Plan |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
1 |
4 |
2023 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
9 |
4 |
2023 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
4 |
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 |
4 |
2023 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
8 |
4 |
2023 |
Delta Dental of California |
Dental |
Contractual Issues |
5 |
4 |
2023 |
Evernorth Behavioral Health of California, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2023 |
Evernorth Behavioral Health of California, Inc. |
Mental Health |
Non-Contracted Providers |
2 |
4 |
2023 |
Fresno-Kings-Madera Regional Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
2 |
4 |
2023 |
Fresno-Kings-Madera Regional Health Authority |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2023 |
Golden State Medicare Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2023 |
Health Net Community Solutions, Inc. |
Ambulance |
Claims Payment Dispute |
4 |
4 |
2023 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
3 |
4 |
2023 |
Health Net Community Solutions, Inc. |
Home Health Services |
Claims Payment Dispute |
8 |
4 |
2023 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
97 |
4 |
2023 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
18 |
4 |
2023 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Other |
1 |
4 |
2023 |
Health Net Community Solutions, Inc. |
Laboratory Services |
Claims Payment Dispute |
1 |
4 |
2023 |
Health Net Community Solutions, Inc. |
On Call Physicians (Not ER) |
Claims Payment Dispute |
1 |
4 |
2023 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
5 |
4 |
2023 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Dispute Resolution Problems |
2 |
4 |
2023 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
7 |
4 |
2023 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Contractual Issues |
2 |
4 |
2023 |
Health Net Community Solutions, Inc. |
Pharmacy |
Claims Payment Dispute |
3 |
4 |
2023 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
4 |
2023 |
Health Net Health Plan of Oregon, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
6 |
4 |
2023 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
4 |
2023 |
Health Net of California, Inc. |
Home Health Services |
Claims Payment Dispute |
1 |
4 |
2023 |
Health Net of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
3 |
4 |
2023 |
Health Net of California, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
4 |
2023 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
20 |
4 |
2023 |
Health Net of California, Inc. |
Hospital/Institutional |
Contractual Issues |
4 |
4 |
2023 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
4 |
2023 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
4 |
4 |
2023 |
Health Net of California, Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
4 |
2023 |
Health Net of California, Inc. |
Laboratory Services |
Claims Payment Dispute |
8 |
4 |
2023 |
Health Net of California, Inc. |
Laboratory Services |
Dispute Resolution Problems |
1 |
4 |
2023 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
5 |
4 |
2023 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Other |
1 |
4 |
2023 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
12 |
4 |
2023 |
Health Net of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
4 |
2023 |
Health Net of California, Inc. |
Pharmacy |
Claims Payment Dispute |
1 |
4 |
2023 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2023 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
4 |
2023 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Other |
3 |
4 |
2023 |
Heritage Provider Network, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2023 |
Heritage Provider Network, Inc. |
Hospital/Institutional |
Contractual Issues |
1 |
4 |
2023 |
Heritage Provider Network, Inc. |
Pharmacy |
Claims Payment Dispute |
1 |
4 |
2023 |
Human Affairs International of California |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2023 |
Humana Health Plan of California, Inc. |
Ambulance |
Claims Payment Dispute |
6 |
4 |
2023 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
5 |
4 |
2023 |
Humana Health Plan of California, Inc. |
Pharmacy |
Claims Payment Dispute |
1 |
4 |
2023 |
Imperial Health Plan of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2023 |
Inland Empire Health Plan |
Ambulance |
Non-Contracted Providers |
1 |
4 |
2023 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
10 |
4 |
2023 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
4 |
2023 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Non-Contracted Providers |
1 |
4 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
101 |
4 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
4 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
21 |
4 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Unknown |
26 |
4 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Internal Medicine |
Claims Payment Dispute |
3 |
4 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
13 |
4 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2023 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Non-Contracted Providers |
4 |
4 |
2023 |
Kern Health Systems |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
4 |
2023 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
4 |
4 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Dispute Resolution Problems |
40 |
4 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Non-Contracted Providers |
14 |
4 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Home Health Services |
Claims Payment Dispute |
2 |
4 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
186 |
4 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
19 |
4 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Non-Contracted Providers |
4 |
4 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Other |
2 |
4 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Unknown |
50 |
4 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Internal Medicine |
Claims Payment Dispute |
4 |
4 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Internal Medicine |
Dispute Resolution Problems |
1 |
4 |
2023 |
Local Initiative Health Authority for Los Angeles County |
OB/GYN |
Claims Payment Dispute |
50 |
4 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
4 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
4 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Overpayment/Refund Request |
1 |
4 |
2023 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2023 |
Magellan Health Services of California, Inc. - Employer Services |
Mental Health |
Claims Payment Dispute |
2 |
4 |
2023 |
Molina Healthcare of California |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2023 |
Molina Healthcare of California |
Ambulance |
Non-Contracted Providers |
3 |
4 |
2023 |
Molina Healthcare of California |
Home Health Services |
Claims Payment Dispute |
1 |
4 |
2023 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
62 |
4 |
2023 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
13 |
4 |
2023 |
Molina Healthcare of California |
Hospital/Institutional |
Other |
1 |
4 |
2023 |
Molina Healthcare of California |
Hospital/Institutional |
Overpayment/Refund Request |
15 |
4 |
2023 |
Molina Healthcare of California |
Internal Medicine |
Claims Payment Dispute |
5 |
4 |
2023 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
4 |
2023 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
4 |
2023 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Non-Contracted Providers |
1 |
4 |
2023 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
13 |
4 |
2023 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
4 |
2023 |
Molina Healthcare of California |
Other Specialist Providers |
Overpayment/Refund Request |
1 |
4 |
2023 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
4 |
2023 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
4 |
2023 |
Monarch Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
7 |
4 |
2023 |
Optum Health Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2023 |
Orange County Health Authority |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2023 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
9 |
4 |
2023 |
Orange County Health Authority |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
4 |
2023 |
Orange County Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2023 |
Oscar Health Plan of California |
Family/General Practice |
Other |
1 |
4 |
2023 |
Oscar Health Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
2 |
4 |
2023 |
Oscar Health Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
4 |
2023 |
Partnership HealthPlan of California |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2023 |
Partnership HealthPlan of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2023 |
Partnership HealthPlan of California |
Laboratory Services |
Claims Payment Dispute |
2 |
4 |
2023 |
Partnership HealthPlan of California |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2023 |
Prospect Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
6 |
4 |
2023 |
San Joaquin County Health Commission |
Other Ancillary Service Providers |
Claims Payment Dispute |
22 |
4 |
2023 |
San Joaquin County Health Commission |
Other Specialist Providers |
Contractual Issues |
2 |
4 |
2023 |
San Joaquin County Health Commission |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
4 |
2023 |
Santa Barbara San Luis Obispo Regional Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
4 |
2023 |
Santa Clara County |
Hospital/Institutional |
Claims Payment Dispute |
2 |
4 |
2023 |
Santa Clara County Health Authority |
Laboratory Services |
Claims Payment Dispute |
1 |
4 |
2023 |
Scan Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
6 |
4 |
2023 |
Scan Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
4 |
2023 |
Sharp Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2023 |
Sharp Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2023 |
UHC of California |
Ambulance |
Non-Contracted Providers |
1 |
4 |
2023 |
UHC of California |
ER Physician |
Non-Contracted Providers |
1 |
4 |
2023 |
UHC of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
4 |
2023 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
34 |
4 |
2023 |
UHC of California |
Hospital/Institutional |
Non-Contracted Providers |
3 |
4 |
2023 |
UHC of California |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2023 |
UHC of California |
Pharmacy |
Claims Payment Dispute |
5 |
4 |
2023 |
UnitedHealthcare Benefits Plan of California |
Home Health Services |
Claims Payment Dispute |
1 |
4 |
2023 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
10 |
4 |
2023 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Contractual Issues |
1 |
4 |
2023 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
4 |
2023 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
7 |
4 |
2023 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Other |
3 |
4 |
2023 |
UnitedHealthcare Benefits Plan of California |
Internal Medicine |
Claims Payment Dispute |
1 |
4 |
2023 |
UnitedHealthcare Benefits Plan of California |
Laboratory Services |
Claims Payment Dispute |
126 |
4 |
2023 |
UnitedHealthcare Benefits Plan of California |
Laboratory Services |
Dispute Resolution Problems |
7 |
4 |
2023 |
UnitedHealthcare Benefits Plan of California |
Mental Health |
Claims Payment Dispute |
104 |
4 |
2023 |
UnitedHealthcare Benefits Plan of California |
Mental Health |
Other |
9 |
4 |
2023 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
10 |
4 |
2023 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2023 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2023 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2023 |
UnitedHealthcare Community Plan of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2023 |
Universal Care, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
3 |
4 |
2023 |
Universal Care, Inc. |
Hospital/Institutional |
Contractual Issues |
1 |
4 |
2023 |
Universal Care, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2023 |
Universal Care, Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
4 |
2023 |
Universal Care, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
4 |
2023 |
Universal Care, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2023 |
WellCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2023 |
WellCare of California, Inc. |
Internal Medicine |
Claims Payment Dispute |
3 |
4 |
2023 |
Western Health Advantage |
ER Physician |
Claims Payment Dispute |
1 |
1 |
2024 |
Aetna Better Health of California Inc. |
Ambulance |
Claims Payment Dispute |
1 |
1 |
2024 |
Aetna Better Health of California Inc. |
Home Health Services |
Claims Payment Dispute |
1 |
1 |
2024 |
Aetna Better Health of California Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
1 |
2024 |
Aetna Better Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
6 |
1 |
2024 |
Aetna Better Health of California Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
1 |
2024 |
Aetna Health of California Inc. |
Ambulance |
Contractual Issues |
1 |
1 |
2024 |
Aetna Health of California Inc. |
Ambulance |
Non-Contracted Providers |
2 |
1 |
2024 |
Aetna Health of California Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
5 |
1 |
2024 |
Aetna Health of California Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
4 |
1 |
2024 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
9 |
1 |
2024 |
Aetna Health of California Inc. |
Hospital/Institutional |
Contractual Issues |
1 |
1 |
2024 |
Aetna Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2024 |
Aetna Health of California Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2024 |
Aetna Health of California Inc. |
Hospital/Institutional |
Unknown |
1 |
1 |
2024 |
Aetna Health of California Inc. |
Laboratory Services |
Claims Payment Dispute |
4 |
1 |
2024 |
Aetna Health of California Inc. |
Mental Health |
Claims Payment Dispute |
3 |
1 |
2024 |
Aetna Health of California Inc. |
Mental Health |
Dispute Resolution Problems |
1 |
1 |
2024 |
Aetna Health of California Inc. |
OB/GYN |
Claims Payment Dispute |
3 |
1 |
2024 |
Aetna Health of California Inc. |
OB/GYN |
Dispute Resolution Problems |
1 |
1 |
2024 |
Aetna Health of California Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
3 |
1 |
2024 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2024 |
Aetna Health of California Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2024 |
Aetna Health of California Inc. |
Pharmacy |
Claims Payment Dispute |
1 |
1 |
2024 |
Aetna Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
1 |
2024 |
Aetna Health of California Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
9 |
1 |
2024 |
Alameda Alliance For Health |
Other Specialist Providers |
Claims Payment Dispute |
2 |
1 |
2024 |
Alignment Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
9 |
1 |
2024 |
Alignment Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2024 |
AltaMed Health Network, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2024 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
4 |
1 |
2024 |
Blue Cross of California |
Ambulance |
Dispute Resolution Problems |
11 |
1 |
2024 |
Blue Cross of California |
Ambulance |
Non-Contracted Providers |
43 |
1 |
2024 |
Blue Cross of California |
Ambulance |
Overpayment/Refund Request |
2 |
1 |
2024 |
Blue Cross of California |
Durable Medical Equipment |
Claims Payment Dispute |
6 |
1 |
2024 |
Blue Cross of California |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
1 |
2024 |
Blue Cross of California |
Family/General Practice |
Claims Payment Dispute |
5 |
1 |
2024 |
Blue Cross of California |
Home Health Services |
Contractual Issues |
1 |
1 |
2024 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
1 |
2024 |
Blue Cross of California |
Hospital-Based Physician |
Non-Contracted Providers |
1 |
1 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
59 |
1 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
6 |
1 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Non-Contracted Providers |
9 |
1 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Overpayment/Refund Request |
2 |
1 |
2024 |
Blue Cross of California |
Laboratory Services |
Claims Payment Dispute |
25 |
1 |
2024 |
Blue Cross of California |
Laboratory Services |
Dispute Resolution Problems |
30 |
1 |
2024 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
36 |
1 |
2024 |
Blue Cross of California |
Mental Health |
Dispute Resolution Problems |
50 |
1 |
2024 |
Blue Cross of California |
Mental Health |
Non-Contracted Providers |
4 |
1 |
2024 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
12 |
1 |
2024 |
Blue Cross of California |
OB/GYN |
Overpayment/Refund Request |
2 |
1 |
2024 |
Blue Cross of California |
On Call Physicians (Not ER) |
Non-Contracted Providers |
2 |
1 |
2024 |
Blue Cross of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
9 |
1 |
2024 |
Blue Cross of California |
Other Ancillary Service Providers |
Dispute Resolution Problems |
15 |
1 |
2024 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
30 |
1 |
2024 |
Blue Cross of California |
Other Specialist Providers |
Contractual Issues |
1 |
1 |
2024 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
7 |
1 |
2024 |
Blue Cross of California |
Other Specialist Providers |
Non-Contracted Providers |
1 |
1 |
2024 |
Blue Cross of California |
Pediatrics |
Claims Payment Dispute |
1 |
1 |
2024 |
Blue Cross of California |
Pharmacy |
Claims Payment Dispute |
5 |
1 |
2024 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
1 |
2024 |
Blue Cross of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
1 |
2024 |
Blue Cross of California |
Vision |
Claims Payment Dispute |
21 |
1 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Ambulance |
Claims Payment Dispute |
2 |
1 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Anesthesiology |
Claims Payment Dispute |
2 |
1 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Durable Medical Equipment |
Non-Contracted Providers |
2 |
1 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Home Health Services |
Claims Payment Dispute |
1 |
1 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
49 |
1 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
1 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Other |
1 |
1 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Laboratory Services |
Claims Payment Dispute |
16 |
1 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Mental Health |
Claims Payment Dispute |
14 |
1 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
7 |
1 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
5 |
1 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2024 |
Blue Shield of California Promise Health Plan |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
5 |
1 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
42 |
1 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
8 |
1 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Other |
1 |
1 |
2024 |
Blue Shield of California Promise Health Plan |
Mental Health |
Claims Payment Dispute |
13 |
1 |
2024 |
Blue Shield of California Promise Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
10 |
1 |
2024 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2024 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2024 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2024 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Overpayment/Refund Request |
1 |
1 |
2024 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Unknown |
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 |
1 |
2024 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
4 |
1 |
2024 |
Delta Dental of California |
Dental |
Contractual Issues |
2 |
1 |
2024 |
Dignity Health Provider Resources, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2024 |
Family Choice Health Services, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2024 |
Fresno-Kings-Madera Regional Health Authority |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2024 |
Fresno-Kings-Madera Regional Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2024 |
Health Net Community Solutions, Inc. |
Ambulance |
Claims Payment Dispute |
5 |
1 |
2024 |
Health Net Community Solutions, Inc. |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2024 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2024 |
Health Net Community Solutions, Inc. |
Home Health Services |
Claims Payment Dispute |
5 |
1 |
2024 |
Health Net Community Solutions, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
5 |
1 |
2024 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
87 |
1 |
2024 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
17 |
1 |
2024 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Other |
1 |
1 |
2024 |
Health Net Community Solutions, Inc. |
Laboratory Services |
Claims Payment Dispute |
2 |
1 |
2024 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
8 |
1 |
2024 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Dispute Resolution Problems |
2 |
1 |
2024 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
16 |
1 |
2024 |
Health Net Community Solutions, Inc. |
Pharmacy |
Claims Payment Dispute |
2 |
1 |
2024 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
6 |
1 |
2024 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
4 |
1 |
2024 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Overpayment/Refund Request |
1 |
1 |
2024 |
Health Net of California, Inc. |
Ambulance |
Dispute Resolution Problems |
1 |
1 |
2024 |
Health Net of California, Inc. |
Ambulance |
Non-Contracted Providers |
3 |
1 |
2024 |
Health Net of California, Inc. |
Anesthesiology |
Non-Contracted Providers |
1 |
1 |
2024 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2024 |
Health Net of California, Inc. |
ER Physician |
Non-Contracted Providers |
1 |
1 |
2024 |
Health Net of California, Inc. |
Home Health Services |
Non-Contracted Providers |
1 |
1 |
2024 |
Health Net of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
5 |
1 |
2024 |
Health Net of California, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
1 |
2024 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
28 |
1 |
2024 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
1 |
2024 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
3 |
1 |
2024 |
Health Net of California, Inc. |
Laboratory Services |
Claims Payment Dispute |
4 |
1 |
2024 |
Health Net of California, Inc. |
Laboratory Services |
Dispute Resolution Problems |
2 |
1 |
2024 |
Health Net of California, Inc. |
Mental Health |
Claims Payment Dispute |
10 |
1 |
2024 |
Health Net of California, Inc. |
On Call Physicians (Not ER) |
Non-Contracted Providers |
1 |
1 |
2024 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
1 |
2024 |
Health Net of California, Inc. |
Pharmacy |
Claims Payment Dispute |
2 |
1 |
2024 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
1 |
2024 |
HealthCare Partners Medical Plan, Llc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2024 |
Hill Physicians Care Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2024 |
Humana Health Plan of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2024 |
Inland Empire Health Plan |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2024 |
Inland Empire Health Plan |
Home Health Services |
Claims Payment Dispute |
3 |
1 |
2024 |
Inland Empire Health Plan |
Home Health Services |
Dispute Resolution Problems |
1 |
1 |
2024 |
Inland Empire Health Plan |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
1 |
2024 |
Inland Empire Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2024 |
Inland Empire Health Plan |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
1 |
2024 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
8 |
1 |
2024 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
1 |
2024 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Unknown |
1 |
1 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Family/General Practice |
Overpayment/Refund Request |
52 |
1 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Family/General Practice |
Unknown |
1 |
1 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
1 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital-Based Physician |
Non-Contracted Providers |
1 |
1 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
85 |
1 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
1 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
10 |
1 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Other |
1 |
1 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Unknown |
1 |
1 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Laboratory Services |
Claims Payment Dispute |
65 |
1 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
22 |
1 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
4 |
1 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Contractual Issues |
1 |
1 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
1 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Non-Contracted Providers |
2 |
1 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
5 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Dispute Resolution Problems |
42 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Claims Payment Dispute |
3 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Home Health Services |
Claims Payment Dispute |
3 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Hospital-Based Physician |
Claims Payment Dispute |
3 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
110 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
76 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Non-Contracted Providers |
9 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Other |
1 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Laboratory Services |
Dispute Resolution Problems |
255 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Mental Health |
Dispute Resolution Problems |
2 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Claims Payment Dispute |
5 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Other |
2 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
6 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Pharmacy |
Claims Payment Dispute |
1 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Overpayment/Refund Request |
1 |
1 |
2024 |
Magellan Health Services of California, Inc. - Employer Services |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2024 |
Managed Health Network |
Mental Health |
Claims Payment Dispute |
3 |
1 |
2024 |
Managed Health Network |
Mental Health |
Unknown |
1 |
1 |
2024 |
Managed Health Network |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
1 |
2024 |
Medi-Excel, S.A. de C.V. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2024 |
Medi-Excel, S.A. de C.V. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2024 |
Molina Healthcare of California |
Ambulance |
Non-Contracted Providers |
13 |
1 |
2024 |
Molina Healthcare of California |
Hospital-Based Physician |
Claims Payment Dispute |
4 |
1 |
2024 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
67 |
1 |
2024 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
9 |
1 |
2024 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2024 |
Molina Healthcare of California |
Hospital/Institutional |
Overpayment/Refund Request |
4 |
1 |
2024 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
1 |
2024 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
14 |
1 |
2024 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
1 |
2024 |
Molina Healthcare of California |
Pediatrics |
Other |
1 |
1 |
2024 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
10 |
1 |
2024 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
1 |
2024 |
Monarch Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
1 |
2024 |
Optum Health Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2024 |
Optum Health Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2024 |
Optum Health Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2024 |
Orange County Health Authority |
Ambulance |
Claims Payment Dispute |
1 |
1 |
2024 |
Orange County Health Authority |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
1 |
2024 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
2 |
1 |
2024 |
Oscar Health Plan of California |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2024 |
Oscar Health Plan of California |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2024 |
Oscar Health Plan of California |
Family/General Practice |
Other |
1 |
1 |
2024 |
Oscar Health Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
2 |
1 |
2024 |
Oscar Health Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
1 |
2024 |
Oscar Health Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2024 |
Oscar Health Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
2 |
1 |
2024 |
Oscar Health Plan of California |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
1 |
2024 |
Oscar Health Plan of California |
Pediatrics |
Claims Payment Dispute |
2 |
1 |
2024 |
PRIMECARE Medical Network, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
1 |
2024 |
PRIMECARE Medical Network, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2024 |
PRIMECARE Medical Network, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2024 |
Prospect Health Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2024 |
San Francisco Health Authority |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
1 |
2024 |
San Francisco Health Authority |
Other Specialist Providers |
Claims Payment Dispute |
4 |
1 |
2024 |
San Joaquin County Health Commission |
Ambulance |
Claims Payment Dispute |
1 |
1 |
2024 |
San Joaquin County Health Commission |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2024 |
San Joaquin County Health Commission |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2024 |
San Joaquin County Health Commission |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2024 |
Scan Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2024 |
Scan Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2024 |
Scan Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
3 |
1 |
2024 |
Scan Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2024 |
Sutter Health Alliance |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2024 |
U.S. Behavioral Health Plan, California |
Mental Health |
Claims Payment Dispute |
21 |
1 |
2024 |
U.S. Behavioral Health Plan, California |
Mental Health |
Overpayment/Refund Request |
4 |
1 |
2024 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
8 |
1 |
2024 |
UHC of California |
Hospital/Institutional |
Non-Contracted Providers |
7 |
1 |
2024 |
UHC of California |
Hospital/Institutional |
Unknown |
1 |
1 |
2024 |
UHC of California |
Internal Medicine |
Claims Payment Dispute |
7 |
1 |
2024 |
UHC of California |
Laboratory Services |
Claims Payment Dispute |
1 |
1 |
2024 |
UHC of California |
Laboratory Services |
Dispute Resolution Problems |
1 |
1 |
2024 |
UHC of California |
Mental Health |
Claims Payment Dispute |
2 |
1 |
2024 |
UHC of California |
Mental Health |
Overpayment/Refund Request |
10 |
1 |
2024 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
8 |
1 |
2024 |
UnitedHealthcare Benefits Plan of California |
Ambulance |
Non-Contracted Providers |
3 |
1 |
2024 |
UnitedHealthcare Benefits Plan of California |
Durable Medical Equipment |
Claims Payment Dispute |
7 |
1 |
2024 |
UnitedHealthcare Benefits Plan of California |
Home Health Services |
Claims Payment Dispute |
1 |
1 |
2024 |
UnitedHealthcare Benefits Plan of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
1 |
2024 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
10 |
1 |
2024 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
12 |
1 |
2024 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
2 |
1 |
2024 |
UnitedHealthcare Benefits Plan of California |
Laboratory Services |
Claims Payment Dispute |
139 |
1 |
2024 |
UnitedHealthcare Benefits Plan of California |
Mental Health |
Claims Payment Dispute |
1 |
1 |
2024 |
UnitedHealthcare Benefits Plan of California |
Mental Health |
Dispute Resolution Problems |
36 |
1 |
2024 |
UnitedHealthcare Benefits Plan of California |
OB/GYN |
Claims Payment Dispute |
2 |
1 |
2024 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
3 |
1 |
2024 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2024 |
UnitedHealthcare Community Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
1 |
2024 |
Universal Care, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2024 |
Universal Care, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
5 |
1 |
2024 |
Ventura County Medi-Cal Managed Care Commission |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2024 |
Ventura County Medi-Cal Managed Care Commission |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
1 |
2024 |
WellCare of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
1 |
2024 |
WellCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
5 |
1 |
2024 |
WellCare of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
1 |
2024 |
WellCare of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
1 |
2024 |
Western Health Advantage |
Other Specialist Providers |
Non-Contracted Providers |
4 |
2 |
2024 |
Access Dental Plan |
Dental |
Other |
12 |
2 |
2024 |
Adventist Health Plan, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2024 |
Aetna Better Health of California Inc. |
Dental |
Overpayment/Refund Request |
1 |
2 |
2024 |
Aetna Better Health of California Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
2 |
2024 |
Aetna Better Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2024 |
Aetna Health of California Inc. |
Ambulance |
Claims Payment Dispute |
2 |
2 |
2024 |
Aetna Health of California Inc. |
Ambulance |
Non-Contracted Providers |
3 |
2 |
2024 |
Aetna Health of California Inc. |
Ambulance |
Unknown |
2 |
2 |
2024 |
Aetna Health of California Inc. |
ER Physician |
Non-Contracted Providers |
1 |
2 |
2024 |
Aetna Health of California Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2024 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
14 |
2 |
2024 |
Aetna Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
2 |
2024 |
Aetna Health of California Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
2 |
2024 |
Aetna Health of California Inc. |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
2 |
2024 |
Aetna Health of California Inc. |
Laboratory Services |
Claims Payment Dispute |
14 |
2 |
2024 |
Aetna Health of California Inc. |
Mental Health |
Non-Contracted Providers |
1 |
2 |
2024 |
Aetna Health of California Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
2 |
2024 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2024 |
Aetna Health of California Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
2 |
2024 |
Aetna Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
2 |
2024 |
Aetna Health of California Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
2 |
2024 |
Alameda Alliance For Health |
Laboratory Services |
Claims Payment Dispute |
1 |
2 |
2024 |
Alignment Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2024 |
Alignment Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
4 |
2 |
2024 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
9 |
2 |
2024 |
Blue Cross of California |
Ambulance |
Dispute Resolution Problems |
1 |
2 |
2024 |
Blue Cross of California |
Ambulance |
Non-Contracted Providers |
18 |
2 |
2024 |
Blue Cross of California |
Chiropractic |
Claims Payment Dispute |
2 |
2 |
2024 |
Blue Cross of California |
Dental |
Claims Payment Dispute |
1 |
2 |
2024 |
Blue Cross of California |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
2 |
2024 |
Blue Cross of California |
Family/General Practice |
Claims Payment Dispute |
5 |
2 |
2024 |
Blue Cross of California |
Family/General Practice |
Dispute Resolution Problems |
1 |
2 |
2024 |
Blue Cross of California |
Home Health Services |
Claims Payment Dispute |
2 |
2 |
2024 |
Blue Cross of California |
Home Health Services |
Non-Contracted Providers |
2 |
2 |
2024 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
2 |
2024 |
Blue Cross of California |
Hospital-Based Physician |
Non-Contracted Providers |
1 |
2 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
44 |
2 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Contractual Issues |
2 |
2 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
14 |
2 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Non-Contracted Providers |
9 |
2 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Other |
6 |
2 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Overpayment/Refund Request |
2 |
2 |
2024 |
Blue Cross of California |
Internal Medicine |
Dispute Resolution Problems |
1 |
2 |
2024 |
Blue Cross of California |
Laboratory Services |
Claims Payment Dispute |
8 |
2 |
2024 |
Blue Cross of California |
Laboratory Services |
Dispute Resolution Problems |
15 |
2 |
2024 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
15 |
2 |
2024 |
Blue Cross of California |
Mental Health |
Contractual Issues |
2 |
2 |
2024 |
Blue Cross of California |
Mental Health |
Dispute Resolution Problems |
1 |
2 |
2024 |
Blue Cross of California |
Mental Health |
Non-Contracted Providers |
3 |
2 |
2024 |
Blue Cross of California |
OB/GYN |
Dispute Resolution Problems |
1 |
2 |
2024 |
Blue Cross of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
8 |
2 |
2024 |
Blue Cross of California |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
2 |
2024 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
13 |
2 |
2024 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
8 |
2 |
2024 |
Blue Cross of California |
Other Specialist Providers |
Other |
2 |
2 |
2024 |
Blue Cross of California |
Other Specialist Providers |
Overpayment/Refund Request |
1 |
2 |
2024 |
Blue Cross of California |
Pharmacy |
Claims Payment Dispute |
3 |
2 |
2024 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
21 |
2 |
2024 |
Blue Cross of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
5 |
2 |
2024 |
Blue Cross of California |
Skilled Nursing Facility |
Overpayment/Refund Request |
1 |
2 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Ambulance |
Non-Contracted Providers |
2 |
2 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
2 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
2 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
13 |
2 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
23 |
2 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Other |
5 |
2 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
8 |
2 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
2 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
2 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
23 |
2 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
5 |
2 |
2024 |
Blue Shield of California Promise Health Plan |
Ambulance |
Non-Contracted Providers |
4 |
2 |
2024 |
Blue Shield of California Promise Health Plan |
Durable Medical Equipment |
Claims Payment Dispute |
7 |
2 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
3 |
2 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
2 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
20 |
2 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
16 |
2 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Other |
2 |
2 |
2024 |
Blue Shield of California Promise Health Plan |
Laboratory Services |
Dispute Resolution Problems |
124 |
2 |
2024 |
Blue Shield of California Promise Health Plan |
Mental Health |
Claims Payment Dispute |
2 |
2 |
2024 |
Blue Shield of California Promise Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
37 |
2 |
2024 |
Blue Shield of California Promise Health Plan |
Other Ancillary Service Providers |
Other |
1 |
2 |
2024 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
14 |
2 |
2024 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
4 |
2 |
2024 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Non-Contracted Providers |
1 |
2 |
2024 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Overpayment/Refund Request |
4 |
2 |
2024 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
6 |
2 |
2024 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
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 |
2 |
2024 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
1 |
2 |
2024 |
Delta Dental of California |
Dental |
Dispute Resolution Problems |
1 |
2 |
2024 |
Dignity Health Provider Resources, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2024 |
Fresno-Kings-Madera Regional Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
6 |
2 |
2024 |
Fresno-Kings-Madera Regional Health Authority |
Mental Health |
Claims Payment Dispute |
1 |
2 |
2024 |
Health Net Community Solutions, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2024 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
2 |
2024 |
Health Net Community Solutions, Inc. |
Home Health Services |
Claims Payment Dispute |
23 |
2 |
2024 |
Health Net Community Solutions, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
2 |
2024 |
Health Net Community Solutions, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
2 |
2024 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
121 |
2 |
2024 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
101 |
2 |
2024 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2024 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Other |
16 |
2 |
2024 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
2 |
2024 |
Health Net Community Solutions, Inc. |
Internal Medicine |
Dispute Resolution Problems |
1 |
2 |
2024 |
Health Net Community Solutions, Inc. |
Laboratory Services |
Claims Payment Dispute |
1 |
2 |
2024 |
Health Net Community Solutions, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
2 |
2024 |
Health Net Community Solutions, Inc. |
Mental Health |
Non-Contracted Providers |
2 |
2 |
2024 |
Health Net Community Solutions, Inc. |
OB/GYN |
Claims Payment Dispute |
25 |
2 |
2024 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
10 |
2 |
2024 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Non-Contracted Providers |
1 |
2 |
2024 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
28 |
2 |
2024 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
14 |
2 |
2024 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
2 |
2024 |
Health Net Health Plan of Oregon, Inc. |
Family/General Practice |
Claims Payment Dispute |
2 |
2 |
2024 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
3 |
2 |
2024 |
Health Net of California, Inc. |
Family/General Practice |
Dispute Resolution Problems |
1 |
2 |
2024 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
8 |
2 |
2024 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
2 |
2024 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
4 |
2 |
2024 |
Health Net of California, Inc. |
Hospital/Institutional |
Other |
1 |
2 |
2024 |
Health Net of California, Inc. |
Internal Medicine |
Claims Payment Dispute |
2 |
2 |
2024 |
Health Net of California, Inc. |
Mental Health |
Claims Payment Dispute |
9 |
2 |
2024 |
Health Net of California, Inc. |
OB/GYN |
Claims Payment Dispute |
25 |
2 |
2024 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
2 |
2024 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
10 |
2 |
2024 |
Health Net of California, Inc. |
Pediatrics |
Claims Payment Dispute |
13 |
2 |
2024 |
Health Net of California, Inc. |
Pharmacy |
Claims Payment Dispute |
1 |
2 |
2024 |
Health Net of California, Inc. |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
5 |
2 |
2024 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
2 |
2024 |
Heritage Provider Network, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2024 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Contractual Issues |
1 |
2 |
2024 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Other |
2 |
2 |
2024 |
Inland Empire Health Plan |
Home Health Services |
Claims Payment Dispute |
37 |
2 |
2024 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
3 |
2 |
2024 |
Inland Empire Health Plan |
Hospital/Institutional |
Other |
1 |
2 |
2024 |
Inland Empire Health Plan |
OB/GYN |
Claims Payment Dispute |
4 |
2 |
2024 |
Inland Empire Health Plan |
On Call Physicians (Not ER) |
Claims Payment Dispute |
1 |
2 |
2024 |
Inland Empire Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
2 |
2024 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2024 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
16 |
2 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Ambulance |
Overpayment/Refund Request |
1 |
2 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
59 |
2 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
22 |
2 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
16 |
2 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Other |
1 |
2 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Internal Medicine |
Overpayment/Refund Request |
10 |
2 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Laboratory Services |
Claims Payment Dispute |
33 |
2 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Laboratory Services |
Dispute Resolution Problems |
1 |
2 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
2 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
2 |
2024 |
Kern Health Systems |
Other Ancillary Service Providers |
Claims Payment Dispute |
8 |
2 |
2024 |
Kern Health Systems |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
2 |
2024 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
2 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Dispute Resolution Problems |
3 |
2 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Non-Contracted Providers |
6 |
2 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Claims Payment Dispute |
3 |
2 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Home Health Services |
Claims Payment Dispute |
1 |
2 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Hospital-Based Physician |
Claims Payment Dispute |
3 |
2 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
49 |
2 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
121 |
2 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Non-Contracted Providers |
7 |
2 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Other |
26 |
2 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Laboratory Services |
Dispute Resolution Problems |
8 |
2 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
2 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
39 |
2 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
2 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
16 |
2 |
2024 |
Magellan Health Services of California, Inc. - Employer Services |
Mental Health |
Claims Payment Dispute |
1 |
2 |
2024 |
Medi-Excel, S.A. de C.V. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2024 |
Molina Healthcare of California |
Ambulance |
Dispute Resolution Problems |
1 |
2 |
2024 |
Molina Healthcare of California |
Ambulance |
Non-Contracted Providers |
7 |
2 |
2024 |
Molina Healthcare of California |
Ambulance |
Overpayment/Refund Request |
1 |
2 |
2024 |
Molina Healthcare of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
2 |
2024 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
45 |
2 |
2024 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
22 |
2 |
2024 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2024 |
Molina Healthcare of California |
Hospital/Institutional |
Other |
1 |
2 |
2024 |
Molina Healthcare of California |
On Call Physicians (Not ER) |
Claims Payment Dispute |
1 |
2 |
2024 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
2 |
2024 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Non-Contracted Providers |
1 |
2 |
2024 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
29 |
2 |
2024 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
5 |
2 |
2024 |
Molina Healthcare of California |
Other Specialist Providers |
Overpayment/Refund Request |
1 |
2 |
2024 |
Molina Healthcare of California |
Other Specialist Providers |
Unknown |
1 |
2 |
2024 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
13 |
2 |
2024 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
2 |
2024 |
Monarch Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2024 |
Optum Health Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2024 |
Optum Health Plan of California |
Pharmacy |
Claims Payment Dispute |
1 |
2 |
2024 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
8 |
2 |
2024 |
Orange County Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2024 |
Orange County Health Authority |
Skilled Nursing Facility |
Contractual Issues |
1 |
2 |
2024 |
Oscar Health Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2024 |
Oscar Health Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
2 |
2024 |
Oscar Health Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
2 |
2 |
2024 |
Prospect Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2024 |
San Francisco Health Authority |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
2 |
2024 |
San Francisco Health Authority |
Other Specialist Providers |
Claims Payment Dispute |
2 |
2 |
2024 |
San Joaquin County Health Commission |
Ambulance |
Claims Payment Dispute |
3 |
2 |
2024 |
San Joaquin County Health Commission |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
2 |
2024 |
San Joaquin County Health Commission |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2024 |
San Joaquin County Health Commission |
Mental Health |
Claims Payment Dispute |
24 |
2 |
2024 |
San Joaquin County Health Commission |
Other Ancillary Service Providers |
Non-Contracted Providers |
1 |
2 |
2024 |
San Joaquin County Health Commission |
Skilled Nursing Facility |
Claims Payment Dispute |
8 |
2 |
2024 |
San Mateo Health Commission |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
2 |
2024 |
San Mateo Health Commission |
Mental Health |
Claims Payment Dispute |
1 |
2 |
2024 |
Santa Barbara San Luis Obispo Regional Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
2 |
2024 |
Santa Clara County |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2024 |
Sharp Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2024 |
Sutter Health Alliance |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
2 |
2024 |
U.S. Behavioral Health Plan, California |
Mental Health |
Claims Payment Dispute |
4 |
2 |
2024 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
2 |
2 |
2024 |
UHC of California |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
2 |
2024 |
UHC of California |
Laboratory Services |
Dispute Resolution Problems |
1 |
2 |
2024 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2024 |
UnitedHealthcare Benefits Plan of California |
Ambulance |
Claims Payment Dispute |
1 |
2 |
2024 |
UnitedHealthcare Benefits Plan of California |
Ambulance |
Non-Contracted Providers |
3 |
2 |
2024 |
UnitedHealthcare Benefits Plan of California |
Home Health Services |
Claims Payment Dispute |
1 |
2 |
2024 |
UnitedHealthcare Benefits Plan of California |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
2 |
2024 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
10 |
2 |
2024 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
2 |
2024 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
2 |
2024 |
UnitedHealthcare Benefits Plan of California |
Internal Medicine |
Claims Payment Dispute |
1 |
2 |
2024 |
UnitedHealthcare Benefits Plan of California |
Laboratory Services |
Dispute Resolution Problems |
30 |
2 |
2024 |
UnitedHealthcare Benefits Plan of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
2 |
2024 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2024 |
UnitedHealthcare Benefits Plan of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
1 |
2 |
2024 |
UnitedHealthcare Benefits Plan of California |
Skilled Nursing Facility |
Other |
1 |
2 |
2024 |
Universal Care, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
2 |
2024 |
WellCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
4 |
3 |
2024 |
Adventist Health Access Choice, LLC |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2024 |
Aetna Better Health of California Inc. |
Ambulance |
Non-Contracted Providers |
1 |
3 |
2024 |
Aetna Better Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
386 |
3 |
2024 |
Aetna Better Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
3 |
2024 |
Aetna Dental of California Inc. |
Dental |
Dispute Resolution Problems |
1 |
3 |
2024 |
Aetna Health of California Inc. |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2024 |
Aetna Health of California Inc. |
Ambulance |
Non-Contracted Providers |
10 |
3 |
2024 |
Aetna Health of California Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
3 |
2024 |
Aetna Health of California Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
3 |
2024 |
Aetna Health of California Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
3 |
2024 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
39 |
3 |
2024 |
Aetna Health of California Inc. |
Hospital/Institutional |
Contractual Issues |
1 |
3 |
2024 |
Aetna Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
3 |
2024 |
Aetna Health of California Inc. |
Hospital/Institutional |
Non-Contracted Providers |
3 |
3 |
2024 |
Aetna Health of California Inc. |
Hospital/Institutional |
Other |
1 |
3 |
2024 |
Aetna Health of California Inc. |
Laboratory Services |
Claims Payment Dispute |
2 |
3 |
2024 |
Aetna Health of California Inc. |
Other Ancillary Service Providers |
Non-Contracted Providers |
1 |
3 |
2024 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
8 |
3 |
2024 |
Aetna Health of California Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
3 |
2024 |
Aetna Health of California Inc. |
Other Specialist Providers |
Other |
1 |
3 |
2024 |
Aetna Health of California Inc. |
Pharmacy |
Claims Payment Dispute |
2 |
3 |
2024 |
Aetna Health of California Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
3 |
2024 |
Alameda Alliance For Health |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2024 |
Alameda Alliance For Health |
Skilled Nursing Facility |
Claims Payment Dispute |
9 |
3 |
2024 |
Alignment Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
4 |
3 |
2024 |
Alignment Health Plan |
Laboratory Services |
Claims Payment Dispute |
1 |
3 |
2024 |
Alignment Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2024 |
AltaMed Health Network, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2024 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
7 |
3 |
2024 |
Blue Cross of California |
Ambulance |
Non-Contracted Providers |
17 |
3 |
2024 |
Blue Cross of California |
Anesthesiology |
Non-Contracted Providers |
2 |
3 |
2024 |
Blue Cross of California |
Durable Medical Equipment |
Claims Payment Dispute |
5 |
3 |
2024 |
Blue Cross of California |
Family/General Practice |
Claims Payment Dispute |
1 |
3 |
2024 |
Blue Cross of California |
Family/General Practice |
Dispute Resolution Problems |
2 |
3 |
2024 |
Blue Cross of California |
Home Health Services |
Claims Payment Dispute |
2 |
3 |
2024 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2024 |
Blue Cross of California |
Hospital-Based Physician |
Dispute Resolution Problems |
2 |
3 |
2024 |
Blue Cross of California |
Hospital-Based Physician |
Non-Contracted Providers |
2 |
3 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
88 |
3 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Contractual Issues |
1 |
3 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
10 |
3 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Non-Contracted Providers |
10 |
3 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Other |
4 |
3 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
3 |
2024 |
Blue Cross of California |
Internal Medicine |
Dispute Resolution Problems |
2 |
3 |
2024 |
Blue Cross of California |
Laboratory Services |
Claims Payment Dispute |
1 |
3 |
2024 |
Blue Cross of California |
Laboratory Services |
Dispute Resolution Problems |
154 |
3 |
2024 |
Blue Cross of California |
Laboratory Services |
Unknown |
1 |
3 |
2024 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
37 |
3 |
2024 |
Blue Cross of California |
Mental Health |
Contractual Issues |
1 |
3 |
2024 |
Blue Cross of California |
Mental Health |
Dispute Resolution Problems |
39 |
3 |
2024 |
Blue Cross of California |
Mental Health |
Non-Contracted Providers |
14 |
3 |
2024 |
Blue Cross of California |
Mental Health |
Other |
1 |
3 |
2024 |
Blue Cross of California |
Mental Health |
Overpayment/Refund Request |
2 |
3 |
2024 |
Blue Cross of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
10 |
3 |
2024 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
20 |
3 |
2024 |
Blue Cross of California |
Other Specialist Providers |
Contractual Issues |
1 |
3 |
2024 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
8 |
3 |
2024 |
Blue Cross of California |
Pediatrics |
Claims Payment Dispute |
4 |
3 |
2024 |
Blue Cross of California |
Physical/Speech/Occupational Therapy |
Contractual Issues |
2 |
3 |
2024 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
14 |
3 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Home Health Services |
Claims Payment Dispute |
1 |
3 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
29 |
3 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
20 |
3 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Other |
5 |
3 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
13 |
3 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
6 |
3 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
38 |
3 |
2024 |
Blue Shield of California Promise Health Plan |
Ambulance |
Claims Payment Dispute |
5 |
3 |
2024 |
Blue Shield of California Promise Health Plan |
Ambulance |
Non-Contracted Providers |
4 |
3 |
2024 |
Blue Shield of California Promise Health Plan |
Durable Medical Equipment |
Claims Payment Dispute |
8 |
3 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
7 |
3 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Contractual Issues |
1 |
3 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
3 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
33 |
3 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Contractual Issues |
1 |
3 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
10 |
3 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Other |
2 |
3 |
2024 |
Blue Shield of California Promise Health Plan |
Internal Medicine |
Claims Payment Dispute |
4 |
3 |
2024 |
Blue Shield of California Promise Health Plan |
OB/GYN |
Claims Payment Dispute |
23 |
3 |
2024 |
Blue Shield of California Promise Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
11 |
3 |
2024 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
67 |
3 |
2024 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2024 |
Blue Shield of California Promise Health Plan |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
1 |
3 |
2024 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
32 |
3 |
2024 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
6 |
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 |
3 |
2024 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
10 |
3 |
2024 |
Dignity Health Provider Resources, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
3 |
2024 |
Dignity Health Provider Resources, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
4 |
3 |
2024 |
EPIC Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2024 |
EPIC Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2024 |
Evernorth Behavioral Health of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2024 |
Evernorth Behavioral Health of California, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
3 |
2024 |
Fresno-Kings-Madera Regional Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2024 |
Health Net Community Solutions, Inc. |
Ambulance |
Claims Payment Dispute |
3 |
3 |
2024 |
Health Net Community Solutions, Inc. |
Ambulance |
Dispute Resolution Problems |
1 |
3 |
2024 |
Health Net Community Solutions, Inc. |
Ambulance |
Non-Contracted Providers |
1 |
3 |
2024 |
Health Net Community Solutions, Inc. |
Home Health Services |
Claims Payment Dispute |
10 |
3 |
2024 |
Health Net Community Solutions, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
3 |
2024 |
Health Net Community Solutions, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
3 |
2024 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
110 |
3 |
2024 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
33 |
3 |
2024 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Other |
5 |
3 |
2024 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Overpayment/Refund Request |
2 |
3 |
2024 |
Health Net Community Solutions, Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
3 |
2024 |
Health Net Community Solutions, Inc. |
Internal Medicine |
Other |
1 |
3 |
2024 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
9 |
3 |
2024 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
13 |
3 |
2024 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2024 |
Health Net Community Solutions, Inc. |
Pharmacy |
Claims Payment Dispute |
3 |
3 |
2024 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
12 |
3 |
2024 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
3 |
2024 |
Health Net of California, Inc. |
Ambulance |
Non-Contracted Providers |
14 |
3 |
2024 |
Health Net of California, Inc. |
Anesthesiology |
Non-Contracted Providers |
3 |
3 |
2024 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
3 |
2024 |
Health Net of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
4 |
3 |
2024 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
37 |
3 |
2024 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
3 |
2024 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
5 |
3 |
2024 |
Health Net of California, Inc. |
Hospital/Institutional |
Other |
3 |
3 |
2024 |
Health Net of California, Inc. |
Laboratory Services |
Claims Payment Dispute |
3 |
3 |
2024 |
Health Net of California, Inc. |
Laboratory Services |
Dispute Resolution Problems |
1 |
3 |
2024 |
Health Net of California, Inc. |
Mental Health |
Claims Payment Dispute |
27 |
3 |
2024 |
Health Net of California, Inc. |
Mental Health |
Overpayment/Refund Request |
15 |
3 |
2024 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
3 |
2024 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
23 |
3 |
2024 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
3 |
2024 |
Heritage Provider Network, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
3 |
3 |
2024 |
Humana Health Plan of California, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2024 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
3 |
2024 |
Humana Health Plan of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2024 |
Humana Health Plan of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2024 |
Inland Empire Health Plan |
Family/General Practice |
Contractual Issues |
3 |
3 |
2024 |
Inland Empire Health Plan |
Hospital-Based Physician |
Contractual Issues |
5 |
3 |
2024 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
5 |
3 |
2024 |
Inland Empire Health Plan |
Hospital/Institutional |
Contractual Issues |
1 |
3 |
2024 |
Inland Empire Health Plan |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2024 |
Inland Empire Health Plan |
OB/GYN |
Claims Payment Dispute |
12 |
3 |
2024 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
97 |
3 |
2024 |
Kaiser Foundation Health Plan, Inc. |
ER Physician |
Non-Contracted Providers |
1 |
3 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
2 |
3 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital-Based Physician |
Other |
1 |
3 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
41 |
3 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
18 |
3 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
6 |
3 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Other |
2 |
3 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
3 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Laboratory Services |
Claims Payment Dispute |
157 |
3 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
1 |
3 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Pediatrics |
Claims Payment Dispute |
1 |
3 |
2024 |
Kern Health Systems |
Other Ancillary Service Providers |
Unknown |
1 |
3 |
2024 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2024 |
Liberty Dental Plan of California, Inc. |
Dental |
Claims Payment Dispute |
1 |
3 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
11 |
3 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Dispute Resolution Problems |
24 |
3 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Non-Contracted Providers |
2 |
3 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
3 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
16 |
3 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
62 |
3 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Non-Contracted Providers |
11 |
3 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Mental Health |
Claims Payment Dispute |
3 |
3 |
2024 |
Local Initiative Health Authority for Los Angeles County |
OB/GYN |
Claims Payment Dispute |
32 |
3 |
2024 |
Local Initiative Health Authority for Los Angeles County |
On Call Physicians (Not ER) |
Claims Payment Dispute |
1 |
3 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Claims Payment Dispute |
7 |
3 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
29 |
3 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Overpayment/Refund Request |
1 |
3 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
3 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
3 |
2024 |
Molina Healthcare of California |
Ambulance |
Claims Payment Dispute |
4 |
3 |
2024 |
Molina Healthcare of California |
Ambulance |
Non-Contracted Providers |
10 |
3 |
2024 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
40 |
3 |
2024 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
31 |
3 |
2024 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2024 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
4 |
3 |
2024 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Contractual Issues |
1 |
3 |
2024 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Dispute Resolution Problems |
2 |
3 |
2024 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
3 |
3 |
2024 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2024 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
16 |
3 |
2024 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
3 |
2024 |
Monarch Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
14 |
3 |
2024 |
New Century Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2024 |
Optum Health Plan of California |
Ambulance |
Claims Payment Dispute |
1 |
3 |
2024 |
Optum Health Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
12 |
3 |
2024 |
Optum Health Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2024 |
Optum Health Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2024 |
Optum Health Plan of California |
Pediatrics |
Non-Contracted Providers |
1 |
3 |
2024 |
Orange County Health Authority |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
3 |
2024 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
64 |
3 |
2024 |
Orange County Health Authority |
Internal Medicine |
Claims Payment Dispute |
2 |
3 |
2024 |
Orange County Health Authority |
Other Specialist Providers |
Claims Payment Dispute |
2 |
3 |
2024 |
Orange County Health Authority |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
3 |
2024 |
Oscar Health Plan of California |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
3 |
2024 |
Oscar Health Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
3 |
2024 |
Oscar Health Plan of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
2 |
3 |
2024 |
Partnership HealthPlan of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
3 |
2024 |
Partnership HealthPlan of California |
Hospital/Institutional |
Other |
1 |
3 |
2024 |
PRIMECARE Medical Network, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
24 |
3 |
2024 |
PRIMECARE Medical Network, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2024 |
PRIMECARE Medical Network, Inc. |
Pediatrics |
Non-Contracted Providers |
1 |
3 |
2024 |
Prospect Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
8 |
3 |
2024 |
San Francisco Health Authority |
Other Specialist Providers |
Claims Payment Dispute |
2 |
3 |
2024 |
San Joaquin County Health Commission |
Mental Health |
Claims Payment Dispute |
2 |
3 |
2024 |
San Joaquin County Health Commission |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
3 |
2024 |
San Mateo Health Commission |
Hospital/Institutional |
Non-Contracted Providers |
1 |
3 |
2024 |
Santa Cruz-Monterey-Merced-San Benito-Mariposa Managed Medical Care Commission |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2024 |
Scan Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
5 |
3 |
2024 |
Scan Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2024 |
Sutter Health Alliance |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
3 |
2024 |
Sutter Health Alliance |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
3 |
2024 |
UHC of California |
Ambulance |
Claims Payment Dispute |
3 |
3 |
2024 |
UHC of California |
Ambulance |
Non-Contracted Providers |
5 |
3 |
2024 |
UHC of California |
Ambulance |
Overpayment/Refund Request |
1 |
3 |
2024 |
UHC of California |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
3 |
2024 |
UHC of California |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
3 |
2024 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
18 |
3 |
2024 |
UHC of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
3 |
2024 |
UHC of California |
Hospital/Institutional |
Non-Contracted Providers |
9 |
3 |
2024 |
UHC of California |
Hospital/Institutional |
Other |
1 |
3 |
2024 |
UHC of California |
Mental Health |
Claims Payment Dispute |
1 |
3 |
2024 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2024 |
UHC of California |
Pharmacy |
Claims Payment Dispute |
2 |
3 |
2024 |
UHC of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
50 |
3 |
2024 |
UHC of California |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
3 |
2024 |
UnitedHealthcare Benefits Plan of California |
Ambulance |
Claims Payment Dispute |
21 |
3 |
2024 |
UnitedHealthcare Benefits Plan of California |
Ambulance |
Non-Contracted Providers |
13 |
3 |
2024 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
10 |
3 |
2024 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
3 |
2024 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
2 |
3 |
2024 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Other |
1 |
3 |
2024 |
UnitedHealthcare Benefits Plan of California |
Mental Health |
Claims Payment Dispute |
3 |
3 |
2024 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
3 |
3 |
2024 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
3 |
2024 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Other |
2 |
3 |
2024 |
UnitedHealthcare Benefits Plan of California |
Skilled Nursing Facility |
Other |
2 |
3 |
2024 |
Universal Care, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
13 |
3 |
2024 |
WellCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
3 |
2024 |
WellCare of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
3 |
2024 |
WellCare of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
3 |
2024 |
WellCare of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
3 |
2024 |
Western Health Advantage |
Durable Medical Equipment |
Dispute Resolution Problems |
2 |
3 |
2024 |
Western Health Advantage |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2024 |
Aetna Better Health of California Inc. |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2024 |
Aetna Better Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2024 |
Aetna Better Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2024 |
Aetna Better Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
5 |
4 |
2024 |
Aetna Health of California Inc. |
Ambulance |
Claims Payment Dispute |
12 |
4 |
2024 |
Aetna Health of California Inc. |
Ambulance |
Non-Contracted Providers |
13 |
4 |
2024 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
28 |
4 |
2024 |
Aetna Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
4 |
2024 |
Aetna Health of California Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2024 |
Aetna Health of California Inc. |
Laboratory Services |
Claims Payment Dispute |
6 |
4 |
2024 |
Aetna Health of California Inc. |
Mental Health |
Claims Payment Dispute |
2 |
4 |
2024 |
Aetna Health of California Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
4 |
2024 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
9 |
4 |
2024 |
Aetna Health of California Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
4 |
2024 |
Aetna Health of California Inc. |
Pharmacy |
Claims Payment Dispute |
2 |
4 |
2024 |
Alameda Alliance For Health |
Hospital/Institutional |
Claims Payment Dispute |
2 |
4 |
2024 |
Alameda Alliance For Health |
Skilled Nursing Facility |
Claims Payment Dispute |
20 |
4 |
2024 |
Alameda Alliance For Health |
Skilled Nursing Facility |
Dispute Resolution Problems |
21 |
4 |
2024 |
Alignment Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2024 |
Alignment Health Plan |
Laboratory Services |
Claims Payment Dispute |
2 |
4 |
2024 |
AltaMed Health Network, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
4 |
2024 |
AltaMed Health Network, Inc. |
Other Specialist Providers |
Other |
2 |
4 |
2024 |
American Specialty Health Plans of California, Inc. |
Chiropractic |
Contractual Issues |
3 |
4 |
2024 |
Ameritas Managed Dental Plan Inc. |
Dental |
Claims Payment Dispute |
1 |
4 |
2024 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
161 |
4 |
2024 |
Blue Cross of California |
Ambulance |
Non-Contracted Providers |
60 |
4 |
2024 |
Blue Cross of California |
Chiropractic |
Contractual Issues |
2 |
4 |
2024 |
Blue Cross of California |
Family/General Practice |
Claims Payment Dispute |
2 |
4 |
2024 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
4 |
2024 |
Blue Cross of California |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
4 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
64 |
4 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
15 |
4 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Non-Contracted Providers |
12 |
4 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Other |
11 |
4 |
2024 |
Blue Cross of California |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
4 |
2024 |
Blue Cross of California |
Internal Medicine |
Dispute Resolution Problems |
1 |
4 |
2024 |
Blue Cross of California |
Laboratory Services |
Claims Payment Dispute |
2 |
4 |
2024 |
Blue Cross of California |
Laboratory Services |
Dispute Resolution Problems |
1 |
4 |
2024 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
26 |
4 |
2024 |
Blue Cross of California |
Mental Health |
Contractual Issues |
2 |
4 |
2024 |
Blue Cross of California |
Mental Health |
Dispute Resolution Problems |
1 |
4 |
2024 |
Blue Cross of California |
Mental Health |
Non-Contracted Providers |
2 |
4 |
2024 |
Blue Cross of California |
Mental Health |
Other |
1 |
4 |
2024 |
Blue Cross of California |
OB/GYN |
Claims Payment Dispute |
35 |
4 |
2024 |
Blue Cross of California |
OB/GYN |
Overpayment/Refund Request |
1 |
4 |
2024 |
Blue Cross of California |
On Call Physicians (Not ER) |
Claims Payment Dispute |
1 |
4 |
2024 |
Blue Cross of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
5 |
4 |
2024 |
Blue Cross of California |
Other Ancillary Service Providers |
Contractual Issues |
15 |
4 |
2024 |
Blue Cross of California |
Other Ancillary Service Providers |
Dispute Resolution Problems |
6 |
4 |
2024 |
Blue Cross of California |
Other Ancillary Service Providers |
Other |
1 |
4 |
2024 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
70 |
4 |
2024 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
3 |
4 |
2024 |
Blue Cross of California |
Other Specialist Providers |
Non-Contracted Providers |
1 |
4 |
2024 |
Blue Cross of California |
Other Specialist Providers |
Overpayment/Refund Request |
3 |
4 |
2024 |
Blue Cross of California |
Pediatrics |
Claims Payment Dispute |
3 |
4 |
2024 |
Blue Cross of California |
Pharmacy |
Claims Payment Dispute |
3 |
4 |
2024 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
16 |
4 |
2024 |
Blue Cross of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
5 |
4 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Ambulance |
Non-Contracted Providers |
9 |
4 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Home Health Services |
Claims Payment Dispute |
1 |
4 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
25 |
4 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
19 |
4 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Other |
4 |
4 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Laboratory Services |
Claims Payment Dispute |
1 |
4 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
OB/GYN |
Claims Payment Dispute |
12 |
4 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
4 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
4 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
15 |
4 |
2024 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
4 |
2024 |
Blue Shield of California Promise Health Plan |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2024 |
Blue Shield of California Promise Health Plan |
Ambulance |
Non-Contracted Providers |
14 |
4 |
2024 |
Blue Shield of California Promise Health Plan |
Home Health Services |
Claims Payment Dispute |
1 |
4 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
12 |
4 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
4 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
40 |
4 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
20 |
4 |
2024 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Other |
1 |
4 |
2024 |
Blue Shield of California Promise Health Plan |
Internal Medicine |
Claims Payment Dispute |
3 |
4 |
2024 |
Blue Shield of California Promise Health Plan |
Mental Health |
Claims Payment Dispute |
7 |
4 |
2024 |
Blue Shield of California Promise Health Plan |
OB/GYN |
Claims Payment Dispute |
10 |
4 |
2024 |
Blue Shield of California Promise Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
4 |
2024 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
29 |
4 |
2024 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
21 |
4 |
2024 |
Blue Shield of California Promise Health Plan |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
1 |
4 |
2024 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
54 |
4 |
2024 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
4 |
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 |
4 |
2024 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
1 |
4 |
2024 |
Delta Dental of California |
Dental |
Dispute Resolution Problems |
1 |
4 |
2024 |
Delta Dental of California |
Dental |
Overpayment/Refund Request |
1 |
4 |
2024 |
Dignity Health Provider Resources, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2024 |
Health Net Community Solutions, Inc. |
Ambulance |
Claims Payment Dispute |
10 |
4 |
2024 |
Health Net Community Solutions, Inc. |
Ambulance |
Non-Contracted Providers |
39 |
4 |
2024 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
4 |
2024 |
Health Net Community Solutions, Inc. |
Family/General Practice |
Claims Payment Dispute |
1 |
4 |
2024 |
Health Net Community Solutions, Inc. |
Home Health Services |
Claims Payment Dispute |
8 |
4 |
2024 |
Health Net Community Solutions, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
8 |
4 |
2024 |
Health Net Community Solutions, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
4 |
2024 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
67 |
4 |
2024 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
52 |
4 |
2024 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Other |
20 |
4 |
2024 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
4 |
2024 |
Health Net Community Solutions, Inc. |
Mental Health |
Claims Payment Dispute |
6 |
4 |
2024 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
19 |
4 |
2024 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Overpayment/Refund Request |
1 |
4 |
2024 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
5 |
4 |
2024 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
4 |
2024 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
10 |
4 |
2024 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
4 |
2024 |
Health Net of California, Inc. |
Ambulance |
Claims Payment Dispute |
2 |
4 |
2024 |
Health Net of California, Inc. |
Ambulance |
Non-Contracted Providers |
24 |
4 |
2024 |
Health Net of California, Inc. |
Anesthesiology |
Dispute Resolution Problems |
1 |
4 |
2024 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
4 |
2024 |
Health Net of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
4 |
2024 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
48 |
4 |
2024 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
4 |
2024 |
Health Net of California, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
2 |
4 |
2024 |
Health Net of California, Inc. |
Hospital/Institutional |
Other |
3 |
4 |
2024 |
Health Net of California, Inc. |
Laboratory Services |
Claims Payment Dispute |
2 |
4 |
2024 |
Health Net of California, Inc. |
Mental Health |
Claims Payment Dispute |
55 |
4 |
2024 |
Health Net of California, Inc. |
Mental Health |
Contractual Issues |
2 |
4 |
2024 |
Health Net of California, Inc. |
Mental Health |
Overpayment/Refund Request |
1 |
4 |
2024 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
14 |
4 |
2024 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Dispute Resolution Problems |
10 |
4 |
2024 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2024 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
4 |
2024 |
Heritage Provider Network, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2024 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
5 |
4 |
2024 |
Humana Health Plan of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
3 |
4 |
2024 |
Imperial Health Plan of California, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
4 |
2024 |
Inland Empire Health Plan |
Ambulance |
Non-Contracted Providers |
12 |
4 |
2024 |
Inland Empire Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
4 |
4 |
2024 |
Inland Empire Health Plan |
Hospital-Based Physician |
Contractual Issues |
1 |
4 |
2024 |
Inland Empire Health Plan |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
4 |
2024 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
8 |
4 |
2024 |
Inland Empire Health Plan |
Hospital/Institutional |
Other |
1 |
4 |
2024 |
Inland Empire Health Plan |
OB/GYN |
Claims Payment Dispute |
3 |
4 |
2024 |
Inland Empire Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
2 |
4 |
2024 |
Inland Empire Health Plan |
Other Specialist Providers |
Contractual Issues |
1 |
4 |
2024 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
4 |
2024 |
Kaiser Foundation Health Plan, Inc. |
ER Physician |
Claims Payment Dispute |
1 |
4 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
56 |
4 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
9 |
4 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
3 |
4 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Other |
3 |
4 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Laboratory Services |
Claims Payment Dispute |
13 |
4 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
5 |
4 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Other Ancillary Service Providers |
Other |
1 |
4 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
5 |
4 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
7 |
4 |
2024 |
Kaiser Foundation Health Plan, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
4 |
2024 |
Kern Health Systems |
Ambulance |
Non-Contracted Providers |
1 |
4 |
2024 |
L.A. Care Health Plan Joint Powers Authority |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2024 |
L.A. Care Health Plan Joint Powers Authority |
Ambulance |
Dispute Resolution Problems |
3 |
4 |
2024 |
L.A. Care Health Plan Joint Powers Authority |
Ambulance |
Non-Contracted Providers |
3 |
4 |
2024 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Claims Payment Dispute |
2 |
4 |
2024 |
L.A. Care Health Plan Joint Powers Authority |
Other Ancillary Service Providers |
Claims Payment Dispute |
4 |
4 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
11 |
4 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Dispute Resolution Problems |
32 |
4 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Non-Contracted Providers |
16 |
4 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Claims Payment Dispute |
3 |
4 |
2024 |
Local Initiative Health Authority for Los Angeles County |
ER Physician |
Claims Payment Dispute |
1 |
4 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Family/General Practice |
Claims Payment Dispute |
2 |
4 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Home Health Services |
Claims Payment Dispute |
2 |
4 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
4 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
4 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
30 |
4 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
29 |
4 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Non-Contracted Providers |
3 |
4 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Other |
14 |
4 |
2024 |
Local Initiative Health Authority for Los Angeles County |
OB/GYN |
Claims Payment Dispute |
7 |
4 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Claims Payment Dispute |
5 |
4 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
12 |
4 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
4 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Contractual Issues |
1 |
4 |
2024 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Dispute Resolution Problems |
2 |
4 |
2024 |
Los Angeles County Department of Health Services |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
4 |
2024 |
Managed Dental Care |
Dental |
Claims Payment Dispute |
1 |
4 |
2024 |
Max Vision Care, Inc. A Professional |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2024 |
Molina Healthcare of California |
Ambulance |
Claims Payment Dispute |
2 |
4 |
2024 |
Molina Healthcare of California |
Ambulance |
Contractual Issues |
1 |
4 |
2024 |
Molina Healthcare of California |
Ambulance |
Dispute Resolution Problems |
2 |
4 |
2024 |
Molina Healthcare of California |
Ambulance |
Non-Contracted Providers |
27 |
4 |
2024 |
Molina Healthcare of California |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
4 |
2024 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
47 |
4 |
2024 |
Molina Healthcare of California |
Hospital/Institutional |
Contractual Issues |
2 |
4 |
2024 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
15 |
4 |
2024 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2024 |
Molina Healthcare of California |
Hospital/Institutional |
Other |
3 |
4 |
2024 |
Molina Healthcare of California |
Internal Medicine |
Claims Payment Dispute |
1 |
4 |
2024 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
3 |
4 |
2024 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
18 |
4 |
2024 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
3 |
4 |
2024 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
29 |
4 |
2024 |
Monarch Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
2 |
4 |
2024 |
Monarch Health Plan, Inc. |
Internal Medicine |
Dispute Resolution Problems |
11 |
4 |
2024 |
Monarch Health Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2024 |
Optum Health Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
2 |
4 |
2024 |
Orange County Health Authority |
Ambulance |
Claims Payment Dispute |
4 |
4 |
2024 |
Orange County Health Authority |
Ambulance |
Non-Contracted Providers |
8 |
4 |
2024 |
Orange County Health Authority |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
4 |
2024 |
Orange County Health Authority |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
4 |
2024 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
72 |
4 |
2024 |
Orange County Health Authority |
Mental Health |
Claims Payment Dispute |
1 |
4 |
2024 |
Oscar Health Plan of California |
Hospital/Institutional |
Other |
1 |
4 |
2024 |
Oscar Health Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
1 |
4 |
2024 |
Partnership HealthPlan of California |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2024 |
PRIMECARE Medical Network, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
4 |
2024 |
PRIMECARE Medical Network, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
4 |
2024 |
PromiseCare Health Plan, Inc. |
Hospital-Based Physician |
Non-Contracted Providers |
1 |
4 |
2024 |
Prospect Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
7 |
4 |
2024 |
Prospect Health Plan, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
6 |
4 |
2024 |
Providence Health Network |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2024 |
Providence Health Network |
Mental Health |
Dispute Resolution Problems |
1 |
4 |
2024 |
Regents of The University of California |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2024 |
SafeGuard Health Plans, Inc. |
Dental |
Claims Payment Dispute |
1 |
4 |
2024 |
San Joaquin County Health Commission |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2024 |
San Joaquin County Health Commission |
Mental Health |
Claims Payment Dispute |
18 |
4 |
2024 |
San Joaquin County Health Commission |
Other Ancillary Service Providers |
Claims Payment Dispute |
2 |
4 |
2024 |
San Joaquin County Health Commission |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
4 |
2024 |
Santa Barbara San Luis Obispo Regional Health Authority |
Ambulance |
Claims Payment Dispute |
1 |
4 |
2024 |
Santa Clara County |
Laboratory Services |
Claims Payment Dispute |
3 |
4 |
2024 |
Santa Cruz-Monterey-Merced-San Benito-Mariposa Managed Medical Care Commission |
Skilled Nursing Facility |
Claims Payment Dispute |
6 |
4 |
2024 |
Scan Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
9 |
4 |
2024 |
Scan Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
13 |
4 |
2024 |
Scan Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
4 |
2024 |
Scan Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
4 |
2024 |
Scan Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
7 |
4 |
2024 |
Scan Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
4 |
2024 |
Sutter Health Alliance |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2024 |
U.S. Behavioral Health Plan, California |
Mental Health |
Claims Payment Dispute |
8 |
4 |
2024 |
UHC of California |
Ambulance |
Claims Payment Dispute |
3 |
4 |
2024 |
UHC of California |
Ambulance |
Non-Contracted Providers |
10 |
4 |
2024 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
28 |
4 |
2024 |
UHC of California |
Hospital/Institutional |
Dispute Resolution Problems |
4 |
4 |
2024 |
UHC of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2024 |
UHC of California |
OB/GYN |
Claims Payment Dispute |
2 |
4 |
2024 |
UHC of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
4 |
2024 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
7 |
4 |
2024 |
UHC of California |
Pharmacy |
Claims Payment Dispute |
1 |
4 |
2024 |
UHC of California |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
17 |
4 |
2024 |
UHC of California |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
4 |
2024 |
UnitedHealthcare Benefits Plan of California |
Ambulance |
Claims Payment Dispute |
12 |
4 |
2024 |
UnitedHealthcare Benefits Plan of California |
Ambulance |
Non-Contracted Providers |
13 |
4 |
2024 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
19 |
4 |
2024 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
4 |
2024 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
4 |
2024 |
UnitedHealthcare Benefits Plan of California |
Mental Health |
Claims Payment Dispute |
4 |
4 |
2024 |
UnitedHealthcare Benefits Plan of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
4 |
2024 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
4 |
4 |
2024 |
UnitedHealthcare Benefits Plan of California |
Pharmacy |
Claims Payment Dispute |
5 |
4 |
2024 |
UnitedHealthcare Benefits Plan of California |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
4 |
2024 |
Universal Care, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
3 |
4 |
2024 |
Ventura County Medi-Cal Managed Care Commission |
Ambulance |
Non-Contracted Providers |
1 |
4 |
2024 |
Ventura County Medi-Cal Managed Care Commission |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
4 |
2024 |
Ventura County Medi-Cal Managed Care Commission |
Hospital/Institutional |
Claims Payment Dispute |
1 |
4 |
2024 |
WellCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
7 |
4 |
2024 |
WellCare of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
4 |
1 |
2025 |
Aetna Better Health of California Inc. |
Ambulance |
Claims Payment Dispute |
2 |
1 |
2025 |
Aetna Better Health of California Inc. |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2025 |
Aetna Better Health of California Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
1 |
2025 |
Aetna Dental of California Inc. |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2025 |
Aetna Health of California Inc. |
Ambulance |
Claims Payment Dispute |
7 |
1 |
2025 |
Aetna Health of California Inc. |
Ambulance |
Dispute Resolution Problems |
2 |
1 |
2025 |
Aetna Health of California Inc. |
Ambulance |
Non-Contracted Providers |
39 |
1 |
2025 |
Aetna Health of California Inc. |
Home Health Services |
Non-Contracted Providers |
1 |
1 |
2025 |
Aetna Health of California Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
3 |
1 |
2025 |
Aetna Health of California Inc. |
Hospital/Institutional |
Claims Payment Dispute |
37 |
1 |
2025 |
Aetna Health of California Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
6 |
1 |
2025 |
Aetna Health of California Inc. |
Hospital/Institutional |
Other |
2 |
1 |
2025 |
Aetna Health of California Inc. |
Laboratory Services |
Claims Payment Dispute |
1 |
1 |
2025 |
Aetna Health of California Inc. |
Mental Health |
Claims Payment Dispute |
2 |
1 |
2025 |
Aetna Health of California Inc. |
Mental Health |
Dispute Resolution Problems |
1 |
1 |
2025 |
Aetna Health of California Inc. |
OB/GYN |
Claims Payment Dispute |
1 |
1 |
2025 |
Aetna Health of California Inc. |
Other Specialist Providers |
Claims Payment Dispute |
4 |
1 |
2025 |
Aetna Health of California Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2025 |
Aetna Health of California Inc. |
Other Specialist Providers |
Overpayment/Refund Request |
1 |
1 |
2025 |
Aetna Health of California Inc. |
Pharmacy |
Claims Payment Dispute |
2 |
1 |
2025 |
Aetna Health of California Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2025 |
Alameda Alliance For Health |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
1 |
2025 |
Alameda Alliance For Health |
Skilled Nursing Facility |
Dispute Resolution Problems |
3 |
1 |
2025 |
Alignment Health Advantage Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2025 |
Alignment Health Plan |
Internal Medicine |
Dispute Resolution Problems |
1 |
1 |
2025 |
Alignment Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
2 |
1 |
2025 |
AltaMed Health Network, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
1 |
2025 |
AltaMed Health Network, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2025 |
American Specialty Health Plans of California, Inc. |
Chiropractic |
Contractual Issues |
1 |
1 |
2025 |
Astiva Health, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2025 |
Blue Cross of California |
Ambulance |
Claims Payment Dispute |
384 |
1 |
2025 |
Blue Cross of California |
Ambulance |
Dispute Resolution Problems |
33 |
1 |
2025 |
Blue Cross of California |
Ambulance |
Non-Contracted Providers |
109 |
1 |
2025 |
Blue Cross of California |
Chiropractic |
Claims Payment Dispute |
2 |
1 |
2025 |
Blue Cross of California |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2025 |
Blue Cross of California |
Family/General Practice |
Claims Payment Dispute |
2 |
1 |
2025 |
Blue Cross of California |
Home Health Services |
Dispute Resolution Problems |
3 |
1 |
2025 |
Blue Cross of California |
Hospital-Based Physician |
Claims Payment Dispute |
8 |
1 |
2025 |
Blue Cross of California |
Hospital-Based Physician |
Dispute Resolution Problems |
18 |
1 |
2025 |
Blue Cross of California |
Hospital-Based Physician |
Other |
1 |
1 |
2025 |
Blue Cross of California |
Hospital/Institutional |
Claims Payment Dispute |
56 |
1 |
2025 |
Blue Cross of California |
Hospital/Institutional |
Contractual Issues |
1 |
1 |
2025 |
Blue Cross of California |
Hospital/Institutional |
Dispute Resolution Problems |
84 |
1 |
2025 |
Blue Cross of California |
Hospital/Institutional |
Other |
30 |
1 |
2025 |
Blue Cross of California |
Internal Medicine |
Claims Payment Dispute |
1 |
1 |
2025 |
Blue Cross of California |
Internal Medicine |
Dispute Resolution Problems |
1 |
1 |
2025 |
Blue Cross of California |
Laboratory Services |
Claims Payment Dispute |
4 |
1 |
2025 |
Blue Cross of California |
Mental Health |
Claims Payment Dispute |
46 |
1 |
2025 |
Blue Cross of California |
Mental Health |
Contractual Issues |
1 |
1 |
2025 |
Blue Cross of California |
Mental Health |
Dispute Resolution Problems |
1 |
1 |
2025 |
Blue Cross of California |
Mental Health |
Other |
4 |
1 |
2025 |
Blue Cross of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
30 |
1 |
2025 |
Blue Cross of California |
Other Ancillary Service Providers |
Dispute Resolution Problems |
2 |
1 |
2025 |
Blue Cross of California |
Other Ancillary Service Providers |
Non-Contracted Providers |
2 |
1 |
2025 |
Blue Cross of California |
Other Specialist Providers |
Claims Payment Dispute |
108 |
1 |
2025 |
Blue Cross of California |
Other Specialist Providers |
Dispute Resolution Problems |
44 |
1 |
2025 |
Blue Cross of California |
Other Specialist Providers |
Other |
1 |
1 |
2025 |
Blue Cross of California |
Other Specialist Providers |
Overpayment/Refund Request |
5 |
1 |
2025 |
Blue Cross of California |
Pediatrics |
Claims Payment Dispute |
4 |
1 |
2025 |
Blue Cross of California |
Skilled Nursing Facility |
Claims Payment Dispute |
36 |
1 |
2025 |
Blue Cross of California Partnership Plan, Inc. |
Ambulance |
Claims Payment Dispute |
1 |
1 |
2025 |
Blue Cross of California Partnership Plan, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
1 |
2025 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
4 |
1 |
2025 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
11 |
1 |
2025 |
Blue Cross of California Partnership Plan, Inc. |
Hospital/Institutional |
Other |
9 |
1 |
2025 |
Blue Cross of California Partnership Plan, Inc. |
Internal Medicine |
Other |
1 |
1 |
2025 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2025 |
Blue Cross of California Partnership Plan, Inc. |
Other Ancillary Service Providers |
Non-Contracted Providers |
1 |
1 |
2025 |
Blue Cross of California Partnership Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Ambulance |
Claims Payment Dispute |
3 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Ambulance |
Non-Contracted Providers |
15 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Durable Medical Equipment |
Claims Payment Dispute |
23 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Durable Medical Equipment |
Dispute Resolution Problems |
5 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Home Health Services |
Claims Payment Dispute |
3 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
9 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Non-Contracted Providers |
3 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Hospital-Based Physician |
Other |
1 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
23 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
19 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Hospital/Institutional |
Other |
2 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Internal Medicine |
Claims Payment Dispute |
1 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Internal Medicine |
Dispute Resolution Problems |
1 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Mental Health |
Claims Payment Dispute |
3 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
11 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
8 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
20 |
1 |
2025 |
Blue Shield of California Promise Health Plan |
Skilled Nursing Facility |
Dispute Resolution Problems |
4 |
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 |
1 |
2025 |
Delta Dental of California |
Dental |
Claims Payment Dispute |
2 |
1 |
2025 |
Dignity Health Provider Resources, Inc. |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2025 |
Fresno-Kings-Madera Regional Health Authority |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2025 |
Health Net Community Solutions, Inc. |
Ambulance |
Claims Payment Dispute |
6 |
1 |
2025 |
Health Net Community Solutions, Inc. |
Ambulance |
Dispute Resolution Problems |
2 |
1 |
2025 |
Health Net Community Solutions, Inc. |
Ambulance |
Non-Contracted Providers |
7 |
1 |
2025 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
1 |
2025 |
Health Net Community Solutions, Inc. |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
1 |
2025 |
Health Net Community Solutions, Inc. |
Home Health Services |
Claims Payment Dispute |
20 |
1 |
2025 |
Health Net Community Solutions, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
1 |
2025 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
117 |
1 |
2025 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
52 |
1 |
2025 |
Health Net Community Solutions, Inc. |
Hospital/Institutional |
Other |
16 |
1 |
2025 |
Health Net Community Solutions, Inc. |
Internal Medicine |
Claims Payment Dispute |
1 |
1 |
2025 |
Health Net Community Solutions, Inc. |
Mental Health |
Claims Payment Dispute |
7 |
1 |
2025 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
18 |
1 |
2025 |
Health Net Community Solutions, Inc. |
Other Ancillary Service Providers |
Overpayment/Refund Request |
1 |
1 |
2025 |
Health Net Community Solutions, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
6 |
1 |
2025 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
32 |
1 |
2025 |
Health Net Community Solutions, Inc. |
Skilled Nursing Facility |
Dispute Resolution Problems |
4 |
1 |
2025 |
Health Net of California, Inc. |
Ambulance |
Claims Payment Dispute |
3 |
1 |
2025 |
Health Net of California, Inc. |
Ambulance |
Non-Contracted Providers |
2 |
1 |
2025 |
Health Net of California, Inc. |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
1 |
2025 |
Health Net of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
3 |
1 |
2025 |
Health Net of California, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
1 |
2025 |
Health Net of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
31 |
1 |
2025 |
Health Net of California, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
3 |
1 |
2025 |
Health Net of California, Inc. |
Hospital/Institutional |
Other |
5 |
1 |
2025 |
Health Net of California, Inc. |
Internal Medicine |
Claims Payment Dispute |
2 |
1 |
2025 |
Health Net of California, Inc. |
Laboratory Services |
Claims Payment Dispute |
5 |
1 |
2025 |
Health Net of California, Inc. |
Mental Health |
Claims Payment Dispute |
99 |
1 |
2025 |
Health Net of California, Inc. |
Mental Health |
Contractual Issues |
4 |
1 |
2025 |
Health Net of California, Inc. |
Mental Health |
Dispute Resolution Problems |
2 |
1 |
2025 |
Health Net of California, Inc. |
Mental Health |
Other |
1 |
1 |
2025 |
Health Net of California, Inc. |
OB/GYN |
Claims Payment Dispute |
25 |
1 |
2025 |
Health Net of California, Inc. |
OB/GYN |
Dispute Resolution Problems |
1 |
1 |
2025 |
Health Net of California, Inc. |
Other Ancillary Service Providers |
Claims Payment Dispute |
1 |
1 |
2025 |
Health Net of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
7 |
1 |
2025 |
Health Net of California, Inc. |
Other Specialist Providers |
Non-Contracted Providers |
1 |
1 |
2025 |
Health Net of California, Inc. |
Physical/Speech/Occupational Therapy |
Claims Payment Dispute |
2 |
1 |
2025 |
Health Net of California, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
1 |
2025 |
Heritage Provider Network, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2025 |
Heritage Provider Network, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
9 |
1 |
2025 |
Hill Physicians Care Solutions, Inc. |
Laboratory Services |
Dispute Resolution Problems |
1 |
1 |
2025 |
Humana Health Plan of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
1 |
2025 |
Humana Health Plan of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2025 |
Imperial County Local Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2025 |
Imperial Health Plan of California, Inc. |
Other Specialist Providers |
Claims Payment Dispute |
2 |
1 |
2025 |
Imperial Health Plan of California, Inc. |
Other Specialist Providers |
Dispute Resolution Problems |
11 |
1 |
2025 |
Inland Empire Health Plan |
Ambulance |
Non-Contracted Providers |
2 |
1 |
2025 |
Inland Empire Health Plan |
Family/General Practice |
Claims Payment Dispute |
1 |
1 |
2025 |
Inland Empire Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
4 |
1 |
2025 |
Inland Empire Health Plan |
Hospital-Based Physician |
Contractual Issues |
5 |
1 |
2025 |
Inland Empire Health Plan |
Hospital-Based Physician |
Dispute Resolution Problems |
5 |
1 |
2025 |
Inland Empire Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
7 |
1 |
2025 |
Inland Empire Health Plan |
Hospital/Institutional |
Dispute Resolution Problems |
2 |
1 |
2025 |
Inland Empire Health Plan |
Hospital/Institutional |
Other |
1 |
1 |
2025 |
Inland Empire Health Plan |
Other Ancillary Service Providers |
Claims Payment Dispute |
4 |
1 |
2025 |
Inland Empire Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
2 |
1 |
2025 |
Inland Empire Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
7 |
1 |
2025 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
42 |
1 |
2025 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Dispute Resolution Problems |
16 |
1 |
2025 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Non-Contracted Providers |
4 |
1 |
2025 |
Kaiser Foundation Health Plan, Inc. |
Hospital/Institutional |
Other |
4 |
1 |
2025 |
Kaiser Foundation Health Plan, Inc. |
Laboratory Services |
Claims Payment Dispute |
208 |
1 |
2025 |
Kaiser Foundation Health Plan, Inc. |
Mental Health |
Claims Payment Dispute |
11 |
1 |
2025 |
Kaiser Foundation Health Plan, Inc. |
Skilled Nursing Facility |
Claims Payment Dispute |
3 |
1 |
2025 |
Kaiser Foundation Health Plan, Inc. |
Skilled Nursing Facility |
Non-Contracted Providers |
1 |
1 |
2025 |
Kern Health Systems |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2025 |
L.A. Care Health Plan Joint Powers Authority |
Ambulance |
Dispute Resolution Problems |
1 |
1 |
2025 |
L.A. Care Health Plan Joint Powers Authority |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2025 |
L.A. Care Health Plan Joint Powers Authority |
Home Health Services |
Claims Payment Dispute |
1 |
1 |
2025 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Claims Payment Dispute |
4 |
1 |
2025 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2025 |
L.A. Care Health Plan Joint Powers Authority |
Hospital/Institutional |
Other |
1 |
1 |
2025 |
L.A. Care Health Plan Joint Powers Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2025 |
Liberty Dental Plan of California, Inc. |
Dental |
Overpayment/Refund Request |
2 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Claims Payment Dispute |
17 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Dispute Resolution Problems |
7 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Ambulance |
Non-Contracted Providers |
16 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Home Health Services |
Claims Payment Dispute |
9 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Home Health Services |
Overpayment/Refund Request |
1 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Hospital-Based Physician |
Dispute Resolution Problems |
1 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Claims Payment Dispute |
43 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Dispute Resolution Problems |
54 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Hospital/Institutional |
Other |
32 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Internal Medicine |
Claims Payment Dispute |
1 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Internal Medicine |
Dispute Resolution Problems |
1 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Laboratory Services |
Claims Payment Dispute |
78 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Other Ancillary Service Providers |
Claims Payment Dispute |
36 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Claims Payment Dispute |
7 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Dispute Resolution Problems |
7 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Other Specialist Providers |
Non-Contracted Providers |
1 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Pediatrics |
Claims Payment Dispute |
1 |
1 |
2025 |
Local Initiative Health Authority for Los Angeles County |
Skilled Nursing Facility |
Claims Payment Dispute |
7 |
1 |
2025 |
Los Angeles County Department of Health Services |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2025 |
Molina Healthcare of California |
Ambulance |
Claims Payment Dispute |
1 |
1 |
2025 |
Molina Healthcare of California |
Ambulance |
Non-Contracted Providers |
1 |
1 |
2025 |
Molina Healthcare of California |
Durable Medical Equipment |
Claims Payment Dispute |
2 |
1 |
2025 |
Molina Healthcare of California |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
1 |
2025 |
Molina Healthcare of California |
Hospital-Based Physician |
Claims Payment Dispute |
5 |
1 |
2025 |
Molina Healthcare of California |
Hospital/Institutional |
Claims Payment Dispute |
55 |
1 |
2025 |
Molina Healthcare of California |
Hospital/Institutional |
Dispute Resolution Problems |
27 |
1 |
2025 |
Molina Healthcare of California |
Hospital/Institutional |
Non-Contracted Providers |
1 |
1 |
2025 |
Molina Healthcare of California |
Hospital/Institutional |
Other |
4 |
1 |
2025 |
Molina Healthcare of California |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
1 |
2025 |
Molina Healthcare of California |
Mental Health |
Claims Payment Dispute |
3 |
1 |
2025 |
Molina Healthcare of California |
Mental Health |
Dispute Resolution Problems |
3 |
1 |
2025 |
Molina Healthcare of California |
Other Ancillary Service Providers |
Claims Payment Dispute |
3 |
1 |
2025 |
Molina Healthcare of California |
Other Specialist Providers |
Claims Payment Dispute |
7 |
1 |
2025 |
Molina Healthcare of California |
Other Specialist Providers |
Contractual Issues |
1 |
1 |
2025 |
Molina Healthcare of California |
Other Specialist Providers |
Dispute Resolution Problems |
1 |
1 |
2025 |
Molina Healthcare of California |
Skilled Nursing Facility |
Claims Payment Dispute |
45 |
1 |
2025 |
Molina Healthcare of California |
Skilled Nursing Facility |
Dispute Resolution Problems |
1 |
1 |
2025 |
Molina Healthcare of California |
Skilled Nursing Facility |
Non-Contracted Providers |
38 |
1 |
2025 |
Monarch Health Plan, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
3 |
1 |
2025 |
Optum Health Plan of California |
Ambulance |
Claims Payment Dispute |
1 |
1 |
2025 |
Optum Health Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2025 |
Optum Health Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2025 |
Orange County Health Authority |
Ambulance |
Claims Payment Dispute |
126 |
1 |
2025 |
Orange County Health Authority |
Ambulance |
Dispute Resolution Problems |
1 |
1 |
2025 |
Orange County Health Authority |
Anesthesiology |
Claims Payment Dispute |
1 |
1 |
2025 |
Orange County Health Authority |
Hospital/Institutional |
Claims Payment Dispute |
17 |
1 |
2025 |
Orange County Health Authority |
Hospital/Institutional |
Other |
1 |
1 |
2025 |
Orange County Health Authority |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2025 |
Orange County Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
20 |
1 |
2025 |
Oscar Health Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2025 |
Oscar Health Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
1 |
1 |
2025 |
Oscar Health Plan of California |
Hospital/Institutional |
Other |
1 |
1 |
2025 |
Plan For Health, Inc. |
Hospital/Institutional |
Other |
1 |
1 |
2025 |
Premier Health Plan Services, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2025 |
PRIMECARE Medical Network, Inc. |
Hospital-Based Physician |
Dispute Resolution Problems |
6 |
1 |
2025 |
PRIMECARE Medical Network, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2025 |
PromiseCare Health Plan, Inc. |
On Call Physicians (Not ER) |
Claims Payment Dispute |
1 |
1 |
2025 |
Providence Health Network |
Ambulance |
Dispute Resolution Problems |
1 |
1 |
2025 |
Providence Health Network |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2025 |
Regents of The University of California |
Laboratory Services |
Claims Payment Dispute |
1 |
1 |
2025 |
San Joaquin County Health Commission |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2025 |
San Mateo Health Commission |
Durable Medical Equipment |
Dispute Resolution Problems |
1 |
1 |
2025 |
Santa Barbara San Luis Obispo Regional Health Authority |
Other Ancillary Service Providers |
Other |
2 |
1 |
2025 |
Santa Clara County Health Authority |
Other Specialist Providers |
Claims Payment Dispute |
1 |
1 |
2025 |
Santa Clara County Health Authority |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2025 |
Scan Health Plan |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
1 |
2025 |
Scan Health Plan |
Hospital-Based Physician |
Dispute Resolution Problems |
2 |
1 |
2025 |
Scan Health Plan |
Hospital-Based Physician |
Overpayment/Refund Request |
1 |
1 |
2025 |
Scan Health Plan |
Hospital/Institutional |
Claims Payment Dispute |
8 |
1 |
2025 |
Scan Health Plan |
Mental Health |
Claims Payment Dispute |
2 |
1 |
2025 |
Scan Health Plan |
Mental Health |
Dispute Resolution Problems |
1 |
1 |
2025 |
Scan Health Plan |
Skilled Nursing Facility |
Claims Payment Dispute |
2 |
1 |
2025 |
Scripps Health Plan Services, Inc. |
Mental Health |
Dispute Resolution Problems |
1 |
1 |
2025 |
Sharp Health Plan |
Other Specialist Providers |
Claims Payment Dispute |
2 |
1 |
2025 |
U.S. Behavioral Health Plan, California |
Mental Health |
Contractual Issues |
2 |
1 |
2025 |
UHC of California |
Ambulance |
Claims Payment Dispute |
1 |
1 |
2025 |
UHC of California |
Ambulance |
Non-Contracted Providers |
36 |
1 |
2025 |
UHC of California |
Ambulance |
Overpayment/Refund Request |
1 |
1 |
2025 |
UHC of California |
Home Health Services |
Claims Payment Dispute |
2 |
1 |
2025 |
UHC of California |
Hospital-Based Physician |
Claims Payment Dispute |
1 |
1 |
2025 |
UHC of California |
Hospital-Based Physician |
Dispute Resolution Problems |
4 |
1 |
2025 |
UHC of California |
Hospital/Institutional |
Claims Payment Dispute |
13 |
1 |
2025 |
UHC of California |
Hospital/Institutional |
Dispute Resolution Problems |
20 |
1 |
2025 |
UHC of California |
Hospital/Institutional |
Overpayment/Refund Request |
1 |
1 |
2025 |
UHC of California |
Internal Medicine |
Claims Payment Dispute |
1 |
1 |
2025 |
UHC of California |
Internal Medicine |
Dispute Resolution Problems |
7 |
1 |
2025 |
UHC of California |
Mental Health |
Claims Payment Dispute |
4 |
1 |
2025 |
UHC of California |
Mental Health |
Dispute Resolution Problems |
3 |
1 |
2025 |
UHC of California |
Other Specialist Providers |
Claims Payment Dispute |
2 |
1 |
2025 |
UHC of California |
Skilled Nursing Facility |
Claims Payment Dispute |
1 |
1 |
2025 |
UnitedHealthcare Benefits Plan of California |
Ambulance |
Claims Payment Dispute |
12 |
1 |
2025 |
UnitedHealthcare Benefits Plan of California |
Ambulance |
Dispute Resolution Problems |
7 |
1 |
2025 |
UnitedHealthcare Benefits Plan of California |
Ambulance |
Non-Contracted Providers |
63 |
1 |
2025 |
UnitedHealthcare Benefits Plan of California |
Durable Medical Equipment |
Claims Payment Dispute |
1 |
1 |
2025 |
UnitedHealthcare Benefits Plan of California |
Durable Medical Equipment |
Non-Contracted Providers |
1 |
1 |
2025 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Claims Payment Dispute |
10 |
1 |
2025 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Dispute Resolution Problems |
10 |
1 |
2025 |
UnitedHealthcare Benefits Plan of California |
Hospital/Institutional |
Other |
2 |
1 |
2025 |
UnitedHealthcare Benefits Plan of California |
Mental Health |
Dispute Resolution Problems |
1 |
1 |
2025 |
UnitedHealthcare Benefits Plan of California |
Other Ancillary Service Providers |
Dispute Resolution Problems |
1 |
1 |
2025 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Claims Payment Dispute |
5 |
1 |
2025 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Dispute Resolution Problems |
2 |
1 |
2025 |
UnitedHealthcare Benefits Plan of California |
Other Specialist Providers |
Other |
2 |
1 |
2025 |
UnitedHealthcare Benefits Plan of California |
Pharmacy |
Claims Payment Dispute |
11 |
1 |
2025 |
UnitedHealthcare Benefits Plan of California |
Pharmacy |
Non-Contracted Providers |
2 |
1 |
2025 |
UnitedHealthcare Benefits Plan of California |
Skilled Nursing Facility |
Claims Payment Dispute |
4 |
1 |
2025 |
Universal Care, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
1 |
1 |
2025 |
WellCare of California, Inc. |
Hospital-Based Physician |
Claims Payment Dispute |
2 |
1 |
2025 |
WellCare of California, Inc. |
Hospital/Institutional |
Claims Payment Dispute |
5 |
1 |
2025 |
Western Health Advantage |
Hospital-Based Physician |
Claims Payment Dispute |
1 |