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Right to Appeal Clinical Appeal Requests for appeal of a clinical decision/issue may be made initially by telephone at 1-800-804-5008, via fax at 1-719-538-1439 or in writing. Appeals must be made within 20 calendar days of the date of the denial letter. Claims Appeal Request for an appeal of a claims decision/issue may be made informally by telephone at 1-800-804-5040. Formal appeals must be received in writing. Formal appeals should be submitted to: Colorado Health Networks Credentialing Appeal Request for appeal of a credentialing/recredentialing denial must be sent to: ValueOptions |
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Overview