• Providers
• Appeals and Claims Consideration

Call: 1-800-892-3351.
TTY/TDD should call
1-800-216-1307.
Hours of operation are: 8 a.m. to 8 p.m. local time, Monday through Friday.

Provider Appeals

HealthMarkets Care Assured^SM has experienced representatives to service our Providers. Providers who wish to file an appeal should write to HealthMarkets Care Assured Provider Relations Department at the address indicated below.

If you think that the payment amount that you received for a service (including the member cost sharing collected) is less than you would have received under Original Medicare for the service, you can appeal the payment amount. To appeal the payment amount, you must provide reasonable documentation to the Plan of the original Medicare payment amount that applies to the service. For example, a remittance advice from a Medicare carrier would be considered as sufficient documentation.

Please include the following information with your appeal:

• Medicare provider billing number assigned by CMS
• Member’s name
• Member’s date of birth
• Member’s HealthMarkets Care Assured Plan number listed on the ID card
• Claim number in question
• Date of service
• Issue you want reviewed
• Additional information if necessary
• Copy of claim (if available)

If you demonstrate that you have not received proper payment, HealthMarkets Care Assured will then pay the difference between what was originally received and what you would have received under original Medicare.

Download Provider Appeal Form:

Provider Appeal Form

Send all appeal letters to:

HealthMarkets Care Assured
The Chesapeake Life Insurance Company
P.O. Box #37653
Philadelphia, PA 19101-0653