Definition of a Provider Dispute
A provider dispute is a written notice from the provider to Inland Empire Health Plan (IEHP) that:
- Challenges, appeals, or requests reconsideration of a claim (including a bundled group of similar claims) that has been denied, adjusted, or contested
- Challenges a request for reimbursement for an overpayment of a claim
- Seeks resolution of a billing determination or other contractual dispute