Get Ambetter Reconsideration Form Georgia

Health Insurance Plans in Georgia | Ambetter from Peach State Health Plan.

Ambetter Balanced Care offers affordable health insurance for Georgia individuals and families. Benefits include unlimited office visit copayments to either a PCP or Specialist in network.

Peach State Health Plan is a wholly owned subsidiary of Centene Corporation, a leading multi-line healthcare enterprise. For more information visit .pshp.com.

Timely Filing is 180 days from date of service or primary payment (when Ambetter is secondary) for participating providers.

Ambetter from Peach State Health Plan is Centene Corporation's Health Insurance Marketplace product. Ambetter exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Our approach is based on the core belief that quality healthcare is best delivered locally.

Appeal Process A member must send an Appeal to Peach State Health Plan within 60 calendar days from the date of the Notice of Adverse Benefit Determination.

Peach State Health Plan (Peach State) is a physician-driven, Georgia-based Medicaid managed care plan. Backed by our parent company, Centene Corporation®, Peach State draws on financial stability and national expertise to deliver local services and programs.

Ambetter logs and tracks all complaints/grievances whether received verbally or in writing. A provider has thirty (30) calendar days from the date of the incident, such as the original Explanation of Payment date, to file a complaint/grievance.