Moda Health's non-contracted provider dispute and appeal processes ensure that Moda can work effectively with non-contracted providers to resolve concerns regarding the processing, denial, and/or payment of non-contracted claims for Moda Health Medicare Advantage enrollees. Moda's dispute and appeals processes are available to non-contracted providers who disagree with the Medicare Advantage plan's initial post-service Organization Determination and/or claim payment.
Instructions for submitting your non-contracted provider payment dispute or appeal
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We have exciting news to share. ODS is changing its name to Moda Health.
Moda comes from the latin term "modus" and means "a way". We picked it because that's what we are here to do: help our communities find a way to better health.
Together, we can be more, be better.
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Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:
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