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Section 9: Claims

9.5 Denied Claims - Request for Reconsideration

Contract disputes are a way for providers to contest a claims processing determination regarding contracted fee schedule rates.  At this time, there are no State regulations defining this process, however AHP will strive to respond to inquiries in a timely manner. 

When submitting your request for reconsideration, the Provider Request for Reconsideration Form (fill-able PDF form) is required to be attached and our  Provider Reconsideration Guidelines will help you expedite the contract dispute process.  This form will ensure all pertinent information is included with the initial request so there is not a delay with the review process.   

Please forward your requests for reconsideration by sending us the completed form and attached appropriate documentation to the following address:

If you have any questions pertaining to these processes, please call Network Services, Monday - Friday, 8 a.m. – 5 p.m. CT at (605) 322-4545 or toll-free at 1 (888) 322-2115.