Ambetter Medical Necessity Appeals Notice

Date: 08/28/18

Thank you for your continued partnership with Ambetter from MHS. In order to ensure that we can properly address complaints, grievances, and medical necessity appeals, please make note of the following information.

Sending non-claim related Complaints/Grievances and Medical Necessity Appeals to the incorrect address may cause a delay in review. To avoid any possible delays, please refer to the below information to clarify where your documents should be sent.

Non-claim Related Complaints/Grievances and Medical Necessity Appeals should be sent to:

Ambetter from MHS
Attn: Grievance & Appeals
PO Box 441567
Indianapolis, IN 46244

Provider Claim Grievances and Appeals should be sent to:

Ambetter from MHS
Attn: Claim Disputes
PO Box 5000
Farmington, MO 63640-5000

If you have any questions about this, or any aspect of doing business with Ambetter from MHS, please contact Provider Services at 1-877-687-1182.

As a reminder, here are the Appeals addresses for Allwell from MHS and Medicaid:

Allwell Non-claim Related Complaints/Grievances and Medical Necessity Appeals should be sent to:

Allwell from MHS
Attn: Medicare Grievances and Authorization Appeals (Medicare Operations)  
7700 Forsyth Blvd.
St. Louis, MO 63105

Allwell Claim Provider Grievances and Appeals should be sent to:

Allwell from MHS
Attn: Corrected Claims
PO Box 3060
Farmington, MO 63640-3855

Medicaid Non-claim Related Complaints/Grievances and Medical Necessity Appeals should be sent to:

MHS
Attn: Grievance & Appeals
PO Box 441567
Indianapolis, IN 46244

Medicaid Provider Claim Grievances and Appeals should be sent to:

MHS
Attn: Claim Disputes
PO Box 3000
Farmington, MO 63640-3000