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Reconsideration & Appeals

Provider Reconsideration and Appeals

When a provider believes a claim has been processed incorrectly, they have several options for reviewing the claim. In addition to calling our Customer Service Department at the number on the ID card, providers may also submit information to us in writing using the forms below.

When a provider would like Coventry Health Care of Nebraska to reconsider claim processing that does NOT involve amounts due from their patient/our member, they should complete and return to us a Provider Reconsideration Request Form.

For issues that involve amounts payable by the patient/member, Coventry Health Care of Nebraska requires written authorization from the member identifying the Provider as the member's authorized representative to appeal non-urgent adverse benefit determination on the member's behalf. Therefore, we ask that an Authorized Representative Form be submitted by the Provider when requesting non-urgent appeals.