La Care Provider Dispute Form - Web • provide additional information to support the description of the dispute. You can submit an online appeal by phone: 711) 24 hours a day 7. Care covered visit our claims. Do not include a copy of a claim that was previously.
711) 24 hours a day 7. You can submit an online appeal by phone: Care covered visit our claims. Web • provide additional information to support the description of the dispute. Do not include a copy of a claim that was previously.