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Provider Complaints

You may dispute Prestige Health Choice's policies, procedures, or any aspects of Prestige Health Choice administrative functions, including proposed actions, claims, billing disputes, and service authorizations.

Please contact Provider Services at 1-800-617-5727 or use our Provider Complaint Form (PDF) to send a written complaint to:

Prestige Health Choice
Attn: Provider Complaint Coordinator
P.O. Box 7366
London, KY 40742
Fax: 1-855-358-5853

You may also request an in-person meeting via phone, email, or regular mail.

You may file a written complaint within 120 calendar days of the date of your remittance advice or the date of the incident (if not claim-related). Prestige Health Choice will notify you within three business days of receipt (either verbally or in writing) that the complaint was received and will provide an expected date of resolution.

Prestige will thoroughly investigate the complaint and have a resolution within 60 calendar days. Once a resolution has been determined, Prestige will notify you of the resolution within three business days.