Payment Disputes
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A dispute of medical necessity or administrative determinations resulting in no payment, or
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A dispute of the amount Clover paid on a claim and a request to obtain a higher level of payment.
Please fill out the Claims Payment Dispute Form and send it via fax to (888) 240-7243 or mail to:
Clover Health
P.O. Box 2092
Jersey City, NJ 07303
Along with your dispute, please also submit any of the below relevant documents needed for completing the process:
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A copy of the original claim form
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Date(s) of service
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The basis for the dispute
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The remittance notice showing the denial
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Any clinical records supporting your request for reimbursement
- Interconnect via Change Healthcare: Payer ID#: 13285 or
- Mail: Clover Health P.O. Box 981704 El Paso, TX 79998-1637