If a provider has reasonable documentation (e.g. Medicare carrier remittance advice) indicating the payment amount received for a service (including the member cost sharing collected) is less than would have been received under Original Medicare for the service, you may appeal the payment amount.
Standard appeals of a denied claim may be submitted if a waiver of liability statement has been completed indicating the member will be held harmless regardless of the appeal outcome. Waiver of liability statements and Appeal letters should be sent to:
BlueCross and BlueShield of Tennessee
Attn: BlueAdvantage Operations Appeals / Grievance coordinator
1 Cameron Hill Circle, Suite 0039
Chattanooga, TN 37402-0039
Beneficiary Appeals and Grievance Requirements: