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Appeal Rights for NonāParticipating Providers Non-participating providers can dispute the amount paid by Providence Medicare Advantage Plans for a covered service if they believe they were paid less than the amount that would have been paid by original Medicare. This can be done by requesting a first level review. Provider payment disputes also include instances where there is a disagreement between a non-participating provider and Providence Medicare Advantage Plans about the plans decision to pay for a different service than billed, often referred to as down-coding of claims. Providers have 120 days from the date of claim determination to make a request for a first level review. All non-participating providers who have requested redetermination will be advised in writing of the outcome of Providence Medicare Advantage Plans first level review. Please note: The expansion of the provider payment dispute resolution process does not include Part D claims. You can request a first level review by doing one of the following: Call: Providence Medicare Advantage Plans Customer Service Team 503-574-8000 or 1-800-603-2340 Monday through Friday, between 8 a.m and 5 p.m (Pacific) Write: Providence Health Plan Attn: Providence Medicare Advantage Plans Service Team P.O. Box 5548 Portland, OR 97228-5548