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Non-contracted Provider Claims
If your payment claim as a non-contracted provider was denied by MMM Healthcare, LLC, you may file a Claims Adjustment and exercise your Appeal Rights. Here’s how.
If MMM Healthcare, LLC denied your payment claim, you have the right to request an adjustment of your claim within 365 days from the date the service was provided. In addition, you have appeal and dispute rights depending on your situation. We have provided a questions and answers document so you can obtain more information and clarify any doubts. For your reference, the different forms to be completed according to your request are also included.
For more information, you may contact our Provider Relations Department:
1-866-676-6060 Monday to Friday from 7:00 a.m. to 7:00 p.m.
Send us a letter by fax to: 787-625-3375
Send a letter by email to: Appeals&GrievanceNotifications@mmmhc.com
Or by postal mail to one of the following addresses according to the plan:
For Adjustments to your Claim:
Medicare y Mucho Más
Claims Dept.
PO BOX 71114
SAN JUAN PR 00936-8014
For Appeals and Grievances:
Medicare y Mucho Más
Appeals and Grievances
PO BOX 71114
SAN JUAN PR 00936-8014