The Department of Managed Health Care enacted regulations related to claims settlement and dispute resolution practices of health plans and their delegated groups. Please find below the Health Plan of San Joaquin disclosure notice of AB 1455 that provides detailed information on how to submit claims and disputes to the health plan along with the downloadable dispute submission form.

Provider Dispute Resolution Notification

Provider Dispute Resolution Submission Form

For more information on this legislation please visit this link at the Department of Managed Health Care:

http://www.dmhc.ca.gov/aboutthedmhc/gen/gen_cfd.asp