Getting a Payment Adjusted

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Getting a Payment Adjusted

If you disagree with a payment, you must protest or appeal within 60 days of receiving the remittance advice. This applies to any issue presented by the remittance advice (payment, non-payment, amount of payment, etc.)

A protest to an adjusted bill, which takes money back from you, must be received within 20 days.

For underpayments or overpayments, use the Provider's Request for Adjustment form (F245-183-000).

See your remittance advice for information on protest rights, or go to our Protest L&I Decisions site.