Claims & Appeals


  • Submitting appeals on behalf of your patients

    Providers may file appeals and/or grievances on behalf of a Passport member with the member’s written consent.

    To file an appeal or grievance:

    • FAX to: (562) 499-0610
    • Write to us at:

                Passport by Molina Healthcare
                Attn: Grievance and Appeals
                P.O. Box 22816
                Long Beach, CA 90801-9977

    We will make our appeal decision and send to you in writing within 30 days of receipt of the request. Expedited appeals will be resolved within 72 hours.

    A grievance on behalf of a Passport member must be filed within 60 days of the event. We resolve routing complaints immediately. However, we may need to ask you to submit additional information. In that case, you will have 14 days to get us the information. We will notify the member and/or the representative within 30 days of the grievance filing or 44 days if an extension was granted.