This portal was design to help facilitate the MAC appeal process between American Health Care and our Pharmacy partners.
All MAC appeals must be submitted via our MAC Appeals Portal. The appeal should be for generic products only. Claims for a date of fill for more than 30 days from today’s date may not be reviewed.
Claims being reimbursed at contracted AWP discounts, submitted Usual & Customary or Submitted Ingredient Cost do NOT qualify for review or appeals.
Pharmacies contracted directly with American Health Care may appeal directly to American Health Care. If your pharmacy is part of a chain, franchise, third party network or PSAO, please direct your appeals to your corporate office or third party network administrator.
The following information is required when submitting a MAC appeal: