For Healthcare Providers:

Complaints and Appeals

Contact payers for complaints related to:

  • non-covered charges
  • denied charges
  • eligibility and benefits
  • bundling of procedure codes

Deadlines for timely filing of complaints vary by payer. Refer to EOBs or payer websites for this information.

Contact Midlands Choice for complaints related to:

  • fee schedules
  • service you received from us
  • appeals submitted to payers that have not been resolved in a timely manner

Submit Midlands Choice complaints and appeals in writing within 180 days of the payment date. Include the name, address and telephone number of the person to contact regarding the complaint or appeal, and copies of EOBs. A Midlands Choice representative will review the information that is submitted, request additional information if needed, and communicate the results of the investigation within 30 days.

The mailing address is:

Attn: Complaints and Appeals
Midlands Choice
8420 W. Dodge Rd, Suite 210
Omaha, NE 68114

We also accept complaints and appeals via e-mail.

If you do not agree with the outcome of an appeal, you may submit a second level appeal at the address shown above. The second level appeal will be forwarded to our Director of Operations or President for review and resolution. Results of the investigation will be communicated within 30 days to the person who submitted the appeal.