Statewide Provider and Health Plan Claim Dispute Resolution Program

The Agency for Health Care Administration is contracted with MAXIMUS, an independent dispute resolution organization, to provide assistance to health care providers and health plans in resolving claim disputes. Claims submitted to managed care plans that have been denied in full or in part, or allegedly underpaid or overpaid may be eligible for dispute under the arbitration process. Contact MAXIMUS for application forms and instructions on how to file a claim dispute.