MEDASSIST PROGRAM

APPEALS PROCESS

  1. The County will issue a decision within thirty (30) calendar days of receiving a patient’s completed MedAssist Program Application.
  2. A patient who is denied may appeal the denial in writing. An appeal must contain the basis for the appeal and the requested relief. Appeal forms are available online or by contacting the MedAssist Team.
  3. Appeals must be received at the address below within thirty (30) calendar days of the denial:

County of Santa Clara Health System Patient Business Services
2325 Enborg Lane, Suite 440
San Jose, CA 95128
Attention: Revenue Cycle Director

  1. The Revenue Cycle Director will decide all initial appeals within thirty (30) calendar days.
  2. If the Revenue Cycle Director affirms the initial denial, a patient may submit a second written appeal. Any secondary appeal must be received by the County Health System Chief Financial Officer at the address listed below within thirty (30) calendar days of the initial appeal denial:

County of Santa Clara Health System Finance Department
2325 Enborg Lane, Suite 360
San Jose, CA 95128
Attention: Chief Financial Officer

  1. The Chief Financial Officer will decide all secondary appeals within thirty (30) calendar days.
  2. The decision on any second appeal will be final.