If you disagree with the outcome of a claim, you may begin the Amerigroup Community Care grievance and appeal provider payment dispute process. The simplest way to define a claim payment dispute is when the claim is finalized, but you disagree with the outcome.
Amerigroup uses Availity, a secure, full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to health care professionals. Use Availity to submit claims, check the status of all your claims, appeal a claim decision and much more.
For a complete guide to the Provider Claim Payment Dispute Process, please refer to the provider manual.