Acentra Health Provider MCO External Review Form
If you are submitting a request for an MCO External Review, please use the form linked below and ensure all fields are fully and accurately completed. When you’re ready to submit, please send the finalized form to dmasexternalreviewcontacts@acentra.com. Once your request has been received by Acentra Health, a Clinical Appeals Specialist will contact you at the email address provided to proceed with your request.