How do I submit an appeal?

An appeal is needed when one of the following occurs:

• Change in treating or billing provider name
• Change in claims remittance/shipment mailing address
  
• Change in Assignment of Benefits
  
• Change in the patient name
  
• Frequency or code rejection that is a non-Beam error
  
• Processed with the incorrect fees (Ex: In-network reflecting as out-of-network or the other way around)
• The claim was sent with incorrect information that caused rejection
  
  An appeal is not needed when the claim is disallowed--please resubmit the claim form with the requested documentation for reprocessing.
  
  To submit an appeal, download the Beam Appeal Form here:  Appeal Form.pdf
  
  The form must be mailed ATTN: Appeals, P.O. Box 75372, Cincinnati, OH 45275. Include the claim form and applicable documentation such as a narrative, x-rays, perio charting, or surgical notes.
  
  Appeal forms received by any other means will not be processed!